Key features of the novel geothermal heat exchanger prototype installed at the Brenner Base Tunnel

The design, installation, and testing of an innovative geothermal heat exchanger, tailored for tunnels excavated by Tunnel Boring Machines, will be presented. The prototype was developed by the joint efforts of BBT SE, involved in the construction of a new railway base tunnel system connecting Italy and Austria, and the University of Bologna, engaged in applied research over various aspects of the BBT system. The geothermal heat exchanger consists in a modular horizontal closed-loop system located in the exploratory tunnel of the BBT system, specifically in the space dedicated to collect the drained water at the lining invert. Due to the type of the heat exchange process, working with the drainage water, and for its compact design and simple installation procedure, the prototype was called “Smart Flowing”. Modules were built outside and later moved inside the tunnel, and eventually placed and assembled concurrently to the advancement of the Tunnel Boring Machine. Specific tests were performed to prove the reliability and the efficiency of the system, by simulating the work of a heat pump conditioning system in both heating and cooling modes. Finally, a preliminary assessment of the economic and environmental potential of this innovative prototype was carried out. First results showed the performance of the system for both heat dissipation and extraction. The drainage water flow guarantees a continuous recovery to the natural state, thus improving efficiency compared to classic geothermal heat exchangers. Economic savings and reduction of pollutants and greenhouse gases, as compared to burning fossil fuels, can reach up to 70%

Exploitation of drainage water heat. A novel solution experimented at the Brenner Base Tunnel

Deep tunnels in permeable fractured rock-masses and under high piezometric levels can drain notable volumes of warm water, which are collected under gravity in specific conduits towards the portals, where heat can be exploited. The utilization of this energy source is generally narrowed by the limited presence of end-users near the portals, while other promising heating and cooling needs can be found directly along the tunnel length. The work presents the design, construction and installation of a geothermal system prototype exploiting the drainage water heat directly inside the tunnel. The prototype was named Smart Flowing due to the peculiarity of its heat exchange process. The system was realized and installed inside the exploratory tunnel of the Brenner Base Tunnel, near the border between Italy and Austria. The Smart Flowing modules were built outside and later moved inside the tunnel, where they were placed and assembled concurrently to the advancement of the Tunnel Boring Machine. A design procedure was proposed and validated against a testing and monitoring campaign. The data from the experimental activity confirmed that the drainage water flow guarantees long-term stabilization of circulating water temperature and fast heat recovery afterwards, thus securing the considerable power and performance values of a water-water heat pump connected to the system. A sensitivity analysis allowed the reproduction of different working scenarios, in order to generalize the application of Smart Flowing beyond the specific installation context

Rice Bran By-Product: From Valorization Strategies to Nutritional Perspectives

The aim of this study is to review the innovative techniques based on bioprocessing, thermal or physical treatments which have been proposed during the last few decades to convert rice bran into a valuable food ingredient. Rice bran (Oryza sativa) is the main by-product of rice grain processing. It is produced in large quantities worldwide and it contains a high amount of valuable nutrients and bioactive compounds with significant health-related properties. Despite that, its application in food industry is still scarce because of its sensitivity to oxidation processes, instability and poor technological suitability. Furthermore, the health-related effects of pretreated rice bran are also presented in this review, considering the up-to-date literature focused on both in vivo and in vitro studies. Moreover, in relation to this aspect, a brief description of rice bran arabinoxylans is provided. Finally, the application of rice bran in the food industry and the main technology aspects are concisely summarized

Talking about sex: erectile dysfunction in the oncology patient

: Cancer-related diagnosis and treatments can profoundly affect every aspect of an individual's life. The negative impact on the sexual sphere can manifest with onset or worsening of the most frequent male form of sexual dysfunction, that is the erectile dysfunction (ED), with an estimated incidence ranging from 40 to 100% in patients living with cancer. Cancer and ED are strictly related for many reasons. First, the psychological distress, the so-called 'Damocles syndrome', afflicting cancer patients contributes to ED onset. Second, all cancer therapies can variably lead to sexual dysfunction, even more than the disease itself, having both direct or indirect effects on sexual life. Indeed, alongside pelvic surgery and treatments directly impairing the hypothalamus-pituitary-gonadal axis, the altered personal-body-image frequently experienced by people living with cancer may represent a source of distress contributing to sexual dysfunction. It is undeniable that sexual issues are currently neglected or at least under-considered in the oncological setting, mainly due to the subjective lack of preparation experienced by healthcare professionals and to scant information provided to oncological patients on this topic. To overcome these management problems, a new multidisciplinary medical branch called 'oncosexology' was set up. The aim of this review is to comprehensively evaluate ED as an oncology-related morbidity, giving new light to sexual dysfunction management in the oncological setting

Results of multilevel containment measures to better protect lung cancer patients from COVID-19. the IEO model

A novel coronavirus causing severe acute respiratory syndrome (SARS), named SARS-CoV-2, was identified at the end of 2019. The spread of coronavirus disease 2019 (COVID-19) has progressively expanded from China, involving several countries throughout the world, leading to the classification of the disease as a pandemic by the World Health Organization (WHO). According to published reports, COVID-19 severity and mortality are higher in elderly patients and those with active comorbidities. In particular, lung cancer patients were reported to be at high risk of pulmonary complications related to SARS-CoV2 infection. Therefore, the management of cancer care during the COVID-19 pandemic is a crucial issue, to which national and international oncology organizations have replied with recommendations concerning patients receiving anticancer treatments, delaying follow-up visits and limiting caregiver admission to the hospitals. In this historical moment, medical oncologists are required to consider the possibility to delay active treatment administration based on a case-by-case risk/benefit evaluation. Potential risks associated with COVID-19 infection should be considered, considering tumor histology and natural course, disease setting, clinical conditions, and disease burden, together with the expected benefit, toxicities (e.g., myelosuppression or interstitial lung disease), and response obtained from the planned or ongoing treatment. In this study, we report the results of proactive measures including social media, telemedicine, and telephone triage for screening patients with lung cancer during the COVID-19 outbreak in the European Institute of Oncology (Milan, Italy). Proactive management and containment measures, applied in a structured and daily way, has significantly aided the identification of advance patients with suspected symptoms related to COVID-19, limiting their admission to our cancer center; we have thus been more able to protect other patients from possible contamination and at the same time guarantee to the suspected patients the immediate treatment and evaluation in referral hospitals for COVID-19

Combined Large Cell Neuroendocrine Carcinomas of the Lung: Integrative Molecular Analysis Identifies Subtypes with Potential Therapeutic Implications

Combined large cell neuroendocrine carcinoma (CoLCNEC) is given by the association of LCNEC with adeno or squamous or any non-neuroendocrine carcinoma. Molecular bases of CoLCNEC pathogenesis are scant and no standardized therapies are defined

Giosuè Carducci prosatore

Questo volume su Giosuè Carducci prosatore raccoglie i contributi presentati al XVII Convegno internazionale di Letteratura italiana "Gennaro Barbarisi", tenutosi a Palazzo Feltrinelli (Gargnano del Garda) dal 29 settembre al 1° ottobre 2016. Si è trattato di una proficua occasione di incontro, di studio e di approfondimento su un tema forse poco frequentato, soprattutto in tempi recenti, ma ricco di sollecitazioni per una più articolata e storicamente fondata definizione della personalità di un autore così significativo nel panorama della cultura italiana fra Otto e primo Novecento; non soltanto sul versante della poesia (un primato sancito dal premio Nobel nel 1906) ma anche, e forse ancora di più, su quello della prosa saggistica, degli scritti di polemica, delle curatele editoriali, delle ricerche erudite, fino alle prove di alta oratoria e all'epistolografia

Structured reporting for fibrosing lung disease: a model shared by radiologist and pulmonologist

Objectives: To apply the Delphi exercise with iterative involvement of radiologists and pulmonologists with the aim of defining a structured reporting template for high-resolution computed tomography (HRCT) of patients with fibrosing lung disease (FLD). Methods: The writing committee selected the HRCT criteria\ue2\u80\u94the Delphi items\ue2\u80\u94for rating from both radiology panelists (RP) and pulmonology panelists (PP). The Delphi items were first rated by RPs as \ue2\u80\u9cessential\ue2\u80\u9d, \ue2\u80\u9coptional\ue2\u80\u9d, or \ue2\u80\u9cnot relevant\ue2\u80\u9d. The items rated \ue2\u80\u9cessential\ue2\u80\u9d by < 80% of the RP were selected for the PP rating. The format of reporting was rated by both RP and PP. Results: A total of 42 RPs and 12 PPs participated to the survey. In both Delphi round 1 and 2, 10/27 (37.7%) items were rated \ue2\u80\u9cessential\ue2\u80\u9d by more than 80% of RP. The remaining 17/27 (63.3%) items were rated by the PP in round 3, with 2/17 items (11.7%) rated \ue2\u80\u9cessential\ue2\u80\u9d by the PP. PP proposed additional items for conclusion domain, which were rated by RPs in the fourth round. Poor consensus was observed for the format of reporting. Conclusions: This study provides a template for structured report of FLD that features essential items as agreed by expert thoracic radiologists and pulmonologists

Concept, design, and testing of an innovative geothermal heat exchanger installed at the Brenner Base Tunnel

This master’s thesis was enabled thanks to the cooperation between BBT-SE, the project company appointed to design and build the Brenner Base Tunnel, and the University of Bologna. The thesis discusses the design and installation of an innovate geoexchanger that exploits geothermal energy through drainage water. Although the Brenner Base Tunnel has been the object of extensive research related to the geothermal resource, its indirect exploitation has never been investigated before by in-field tests on the Italian side of the BBT. For this purpose, the Smart Flowing prototype was proposed: it consists in a horizontal closed-loop system located into the central drain system formed by the invert elements of the lining. The major challenges faced during the prototype’s implementation were connected to the exploratory tunnel's specific geometry and the strict workflow of the Tunnel Boring Machine advance. In fact, the Smart Flowing layout was designed to adapt itself to the elements of the underground infrastructure and an efficient installation sequence was set up to avoid hindrances to the excavation activities. The prototype was subjected to field investigations together with a water circulation test, which provided the basis for the system’s boundary conditions. The modelling was addressed through an analytic formulation that aimed at quantifying the exploitable power in heating and cooling modes. Furthermore, a parametric analysis was developed to predict the heat output possible results based on the boundary conditions change. A testing and monitoring system was defined to simulate the Smart Flowing’s operation and evaluate the heat exchange performance. The positioning of the system was studied to find a suitable location that could comply with the exploratory tunnel's space requirements. Finally, the total costs of the materials and workforce needed to manufacture and install the prototype were compared to the costs of standard geothermal heat exchangers

Extraction and Quantification of Azelaic Acid from Different Wheat Samples (Triticum durum Desf.) and Evaluation of Their Antimicrobial and Antioxidant Activities

Azelaic Acid (AzA) is a 9-carbon atom dicarboxylic acid, with numerous pharmacological uses in dermatology. Its effectiveness in papulopustular rosacea and acne vulgaris, among other dermatological disorders such as keratinization and hyper-pigmentation, is thought to be related to its anti-inflammatory and antimicrobial properties. It is a by-product of Pityrosporum fungal mycelia metabolism but also it is found in different cereals such as barley, wheat, and rye. Diverse topical formulations of AzA exist in commerce, and it is mainly produced via chemical synthesis. In this study we describe the extraction of AzA from whole grains and whole-grain flour (Triticum durum Desf.) through green methods. Seventeen different extracts were prepared and analyzed for their AzA content by HPLC-MS methods and then screened for their antioxidant activity using spectrophotometric assays (ABTS, DPPH, and Folin–Ciocalteu). Minimum-inhibitory-concentration (MIC) assays against several bacterial and fungal pathogens were performed, to validate their antimicrobial activity. The obtained results indicate that whole grain extracts provide a wider spectrum of activity than the flour matrix; in particular, the Naviglio® extract showed higher AzA content, while the hydroalcoholic ultrasound-assisted extract provided better antimicrobial and antioxidant activity. The data analysis was performed using principal component analysis (PCA), as an unsupervised-pattern-recognition technique, to extract useful analytical and biological information