Optimal discretization of grounding systems applying Maxwell's subareas method

This paper presents a method for evaluating the optimal number n of equivalent sources needed for simulating grounding systems by the Maxwell's subareas method. It is well known that the number of elements in which electrodes are subdivided plays a role on the accuracy and reliability of results (as well as on computational time). Previous studies, accomplished through iterative calculations (performed with different segmentations), led mostly to some recommended practices for the identification of lower and upper bounds for n. The procedure proposed in this paper allows for predicting the optimal n in a single process. The method starts from the identification of a set of appropriate scalar functions, which heuristically express a relation between the number of subareas and the accuracy of the results (earth resistance and earth surface voltages) computed applying the Maxwell's subareas method. Then, a multi-objective optimization process evaluates the number n* that maximizes that accuracy

Mass-loaded spherical accretion flows

We have calculated the evolution of spherical accretion flows undergoing mass-loading from embedded clouds through either conduction or hydrodynamical ablation. We have observed the effect of varying the ratios of the mass-loading timescale and the cooling timescale to the ballistic crossing timescale through the mass-loading region. We have also varied the ratio of the potential energy of a particle injected into the flow near the outer region of mass-loading to the temperature at which a minimum occurs in the cooling curve. The two types of mass-loading produce qualitatively different types of behaviour in the accretion flow, since mass-loading through conduction requires the ambient gas to be hot, whereas mass ablation from clumps occurs throughout the flow. Higher ratios of injected to accreted mass typically occur with hydrodynamical ablation, in agreement with previous work on wind-blown bubbles and supernova remnants. We find that mass-loading damps the radiative overstability of such flows, in agreement with our earlier work. If the mass-loading is high enough it can stabilize the accretion shock at a constant radius, yielding an almost isothermal subsonic post-shock flow. Such solutions may be relevant to cooling flows onto massive galaxies. Mass-loading can also lead to the formation of isolated shells of high temperature material, separated by gas at cooler temperatures

Management of self-inflicted orchiectomy in psychiatric patient. Case report and non-systematic review of the literature.

INTRODUCTION: Self-inflicted orchidectomy and auto-castration, also known as "Eshmun complex" is a rare phenomenon. The aim of our study it to present the management of a patient who performed a self orchiectomy and propose a non-systematic review of literature about self-orchiectomy. MATERIAL AND METHOD: A 27-years old male Patient with psychiatric disorder was admitted to our ward to have been cutted his scrotum with scissors and cut away his left testicle causing active bleeding from the left spermatic artery. The patient underwent emergency surgery with clamping of the spermatic cord and hemostasis of the wound. RESULTS: After surgery the clinical condition of the patient remained good during whole hospitalization. Urgent psychiatric evaluation was performed in order to administer proper therapy for acute management. To best of our knowledge, only 11 cases of self-orchidectomy are reported in literature and all of them except 1 case, underwent surgical exploration. CONCLUSIONS: Self-orchidectomy is an extremely rare phenomenon, often associated with psychiatric disorders, compounded by the use of drugs. In our opinion, emergency surgery should be the first choice of treatment, offering diagnostic and hemostatic purpose in a single act, aimed to prevent acute and postacute complications

Subcutaneous administration of tocilizumab is effective in myointimal hyperplasia remodelling in refractory Takayasu arteritis

Takayasu arteritis (TA) is a chronic inflammatory disease of unknown origin that involves large and mediumsized arteries, primarily the aorta and its major branches. TA is a therapeutic challenge because corticosteroids and conventional immunosuppressive agents are not always effective or safe. Interleukin 6 (IL-6) has emerged as a key cytokine in the pathogenesis of TA and its serum levels have been shown to well correlate with disease activity. We report a 19 years old female patient with TA refractory to conventional immunosuppressive agents, successfully treated with subcutaneous tocilizumab, a humanized monoclonal antibody against IL-6 receptor, in which ultrasonography (US) was used as imaging tool to follow up the patient. Currently, clinical indices of disease activity, inflammatory markers, carotid intima media thickness (cIMT) as well as carotid pulse wave velocity (cPWV) normalised, while the prednisone dosage has been tapered. Tocilizumab appears to be a good option in refractory TA, with a remarkable steroid-sparing effect. In addition, it seems to have a favourable effect on endothelial function, as it improved cIMT and PWV

Model-based Identification of Alternative Bidding Zone Configurations from Clustering Algorithms Applied on Locational Marginal Prices

This paper deals with the application of clustering methods to assist the bidding zone review processes in Italy, considering the Locational Marginal Prices (LMPs) as the relevant features. A novel approach based on the definition of the input data for clustering, depending on a number of scenarios defined by the Transmission System Operator, is exploited. The problem under analysis requires additional procedures to solve the challenging issue of incorporating node connection constraints in the clustering algorithm. A dedicated procedure, based on the definition of specific functions, is then applied to develop customised versions of k-means and hierarchical clustering. The customised procedures implemented can identify both wide clusters and outliers, whose location depends on the assessed scenarios

Time on a Rotating Platform

Traditional clock synchronisation on a rotating platform is shown to be incompatible with the experimentally established transformation of time. The latter transformation leads directly to solve this problem through noninvariant one-way speed of light. The conventionality of some features of relativity theory allows full compatibility with existing experimental evidence.Comment: 12 pages, Latex, no figure. Copies available at [email protected] accepted for publication in Found. Phys. Let

New Relativistic Effects in the Dynamics of Nonlinear Hydrodynamical Waves

In Newtonian and relativistic hydrodynamics the Riemann problem consists of calculating the evolution of a fluid which is initially characterized by two states having different values of uniform rest-mass density, pressure and velocity. When the fluid is allowed to relax, one of three possible wave-patterns is produced, corresponding to the propagation in opposite directions of two nonlinear hydrodynamical waves. New effects emerge in a special relativistic Riemann problem when velocities tangential to the initial discontinuity surface are present. We show that a smooth transition from one wave-pattern to another can be produced by varying the initial tangential velocities while otherwise maintaining the initial states unmodified. These special relativistic effects are produced by the coupling through the relativistic Lorentz factors and do not have a Newtonian counterpart.Comment: 4 pages, 5 figure

Darunavir-cobicistat-emtricitabine-tenofovir alafenamide: safety and efficacy of a protease inhibitor in the modern era

A fixed-dose combination consisting of darunavir (Drv), cobicistat (Cobi), emtricitabine (2',3'-dideoxy-5-fluoro-3'-thiacytidine [FTC]), and tenofovir alafenamide (Taf) has been recently approved by the European Medicines Agency for the treatment of HIV infection, and is the first ever protease-inhibitor-based single-tablet regimen. This article provides a detailed description of its pharmacokinetic, efficacy, and safety profile. The pharmacokinetics of single compounds were analyzed, with a special focus on contrasts between Drv/Cobi and Drv/ritonavir (Rtv). When comparing Cobi and Rtv, multiple interactions must be taken into account: in comparison to Rtv, Cobi is a more selective CYP3A4 inhibitor and has no clinical effect on other isoenzymes inhibited by Rtv (eg, 2C8 and 2C9). Moreover, unlike Cobi, Rtv shows in vivo induction activity on some CYP isoenzymes (eg, 1A2, 2C19, 2C8, 2C9, and 2B6), glucuronyltransferases (eg, UGT1A4), and Pgp. Drv-Cobi-FTC-Taf has recently been demonstrated to be of equal efficacy to Drv-Rtv and other protease inhibitors in both experienced (EMERALD study) and na\uefve (AMBER study) patients. Moreover, kidney and bone safety profiles have been shown to be good, as has central nervous system tolerance. Total cholesterol:low-density-lipoprotein cholesterol and total cholesterol:high-density-lipoprotein cholesterol ratios are generally high in Drv-Cobi-FTC-Taf vs Rtv-Drv-FTC + tenofovir disoproxil fumarate. An unlikely role of Drv in influencing cardiovascular risk in HIV infection has also been reported. Kidney safety profile is influenced by Cobi, with an increase in creatinine plasma concentration of 0.05-0.1 mg/dL and a parallel glomerular filtration-rate reduction of 10 mL/min within the first 4 weeks after Cobi introduction, which remains stable during treatment. Bone and central nervous system safety profiles were found to be good in randomized clinical trials of both experienced and na\uefve patients. The efficacy and safety of Drv/Cobi/FTC/Taf are comparable to other drug regimens recommended for HIV treatment

Paving the way toward autonomous shipping development for European Waters – The AUTOSHIP project

New developments in maritime industry include the design and operation of autonomous ships. The AUTOSHIP project is one initiative promoting the use of autonomous ships in European waters focusing on two specific use cases, a Short Sea Shipping (SSS) cargo vessel and an Inland Waterways (IWW) barge. The AUTOSHIP objectives include thorough regulatory, societal, financial, safety and security analyses for the two investigated use cases as well as the development of a novel framework and methods for the design of autonomous vessels. This objective is achieved with the support of a number of activities, including supply chain, regulatory, risk and gaps analyses. Some results and findings from these activities are presented in this paper. The results demonstrate that the supply chain analysis is important to understand the complex relationships between different partners and phases for the effective design of maritime autonomous systems. Furthermore, a number of regulatory gaps needs to be addressed for the wider adoption of the AUTOSHIP use cases. There is a number of essential hazards associated with each of the two use cases; measures to mitigate these hazards are presented

The Possibility of Emersion of the Outer Layers in a Massive Star Simultaneously with Iron-Core Collapse: A Hydrodynamic Model

We analyze the behavior of the outer envelope in a massive star during and after the collapse of its iron core into a protoneutron star (PNS) in terms of the equations of one-dimensional spherically symmetric ideal hydrodynamics. The profiles obtained in the studies of the evolution of massive stars up to the final stages of their existence, immediately before a supernova explosion (Boyes et al. 1999), are used as the initial data for the distribution of thermodynamic quantities in the envelope.We use a complex equation of state for matter with allowances made for arbitrary electron degeneracy and relativity, the appearance of electron-positron pairs, the presence of radiation, and the possibility of iron nuclei dissociating into free nucleons and helium nuclei. We performed calculations with the help of a numerical scheme based on Godunov's method. These calculations allowed us to ascertain whether the emersion of the outer envelope in a massive star is possible through the following two mechanisms: first, the decrease in the gravitational mass of the central PNS through neutrino-signal emission and, second, the effect of hot nucleon bubbles, which are most likely formed in the PNS corona, on the envelope emersion. We show that the second mechanism is highly efficient in the range of acceptable masses of the nucleon bubbles ($\leq 0.01M_\odot$) simulated in our hydrodynamic calculations in a rough, spherically symmetric approximation.Comment: 14 pages, 11 figure