Trefftz Co-chain Calculus

We propose a comprehensive approach to obtain systems of equations that discretize linear stationary or time-harmonic elliptic problems in unbounded domains. This is achieved by coupling any numerical method that fits co-chain calculus with a Trefftz method. The framework of co-chain calculus accommodates both finite element exterior calculus and discrete exterior calculus. It encompasses methods based on volume meshes: its application is therefore confined to bounded domains. Conversely, Trefftz methods are based on functions that solve the homogeneous equations exactly in the unbounded complement of the meshed domain, while satisfying suitable conditions at infinity. An example of a Trefftz method is the Multiple Multipole Program (MMP), which makes use of multipoles, i.e. solutions spawned by point sources with central singularities that are placed outside the domain of approximation. In our approach the degrees of freedom describing these sources can be eliminated by computing the Schur complement of the system for the coupling, therefore leading to a boundary term for co-chain calculus that takes into account the exterior problem. As a concrete example, we specialize this general framework for the cell method, a particular variant of discrete exterior calculus, coupled with MMP to solve frequency-domain eddy-current problems. A numerical experiment shows the effectiveness of this approach

Uncertainty Quantification for SAE J2954 Compliant Static Wireless Charge Components

The present work aims at quantifying how, and how much, the uncertainties on the components and material parameters of a wireless power transfer (WPT) system for the static charge of electric vehicles affect the overall efficiency and functionality of the final produced device. With the aim of considering the perspective of a possible industrial developer, the parameters selected for the uncertainty quantification are chosen to be the capacitance values of the compensation capacitors and the electromagnetic material parameters used for the construction of the magnetic structure of a WPT system, i.e. the parameters of the elements to be purchased. The analysis is based on a standard system among the ones provided by the current SAE J2954 recommended practice

Advantages and Challenges of Tailored Regimens for Drug-Resistant Tuberculosis : A {StopTB} Italia Look into the Future

The emerge of drug-resistant tuberculosis (TB) strain in recent decades is hampering the efforts of the international community to eliminate the disease worldwide. The World Health Organization (WHO) has drafted many strategies to achieve this ambitious goal. In the very beginning, the aim was to standardize inadequate regimens used in many countries and, thereafter, evolved to tackle the social determinants which hinder TB elimination. However, following the path of narrowing the clinical vision to deal with TB, there is an increased need to personalize the treatment considering both patients and pathogen unique characteristics. In our narrative review, we report the advantages and the backwards in developing a method to implement the concept of precision medicine to the treatment of TB. In this dissertation, we highlight the importance to address different aspects of the diseases encompassing the host and pathogen features, as well as the needs to further implement an adequate follow-up based on the available resources. Nevertheless, many things may hamper the vision of precision medicine in TB, such as the complexity and the costs to develop novel compounds and the costs related to global-scale implementation of patient-centered follow-up. To achieve the ambitious goal of TB elimination, a radical change in TB treatment is needed in order to give a more comprehensive approach based both on patients\u2019 peculiarities and driven by drug susceptibility tests and whole-genome sequencing

Daily Dosing of Rifapentine Cures Tuberculosis in Three Months or Less in the Murine Model

Eric Nuermberger and colleagues found that after two months of treatment, mice with lung cultures positive for tuberculosis that received daily doses of rifapentine- and moxifloxacin-containing regimens converted to negative lung cultures. This finding could make possible the development of shorter treatment regimens for humans

Clinical standards for the assessment, management, and rehabilitation of post-TB lung disease

BACKGROUND: Increasing evidence suggests that post-TB lung disease (PTLD) causes significant morbidity and mortality. The aim of these clinical standards is to provide guidance on the assessment and management of PTLD and the implementation of pulmonary rehabilitation (PR). METHODS: A panel of global experts in the field of TB care and PR was identified; 62 participated in a Delphi process. A 5-point Likert scale was used to score the initial ideas for standards and after several rounds of revision the document was approved (with 100% agreement). RESULTS: Five clinical standards were defined: Standard 1, to assess patients at the end of TB treatment for PTLD (with adaptation for children and specific settings/situations); Standard 2, to identify patients with PTLD for PR; Standard 3, tailoring the PR programme to patient needs and the local setting; Standard 4, to evaluate the effectiveness of PR; and Standard 5, to conduct education and counselling. Standard 6 addresses public health aspects of PTLD and outcomes due to PR. CONCLUSION: This is the first consensus-based set of Clinical Standards for PTLD. Our aim is to improve patient care and quality of life by guiding clinicians, programme managers and public health officers in planning and implementing adequate measures to assess and manage PTLD

Active tuberculosis, sequelae and COVID-19 co-infection: first cohort of 49 cases.

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) disease (COVID-19) pandemic has attracted interest because of its global rapid spread, clinical severity, high mortality rate, and capacity to overwhelm healthcare systems [1, 2]. SARS-CoV-2 transmission occurs mainly through droplets, although surface contamination contributes and debate continues on aerosol transmission [3\u20135]

Worldwide Effects of Coronavirus Disease Pandemic on Tuberculosis Services, January-April 2020

Coronavirus disease has disrupted tuberculosis services globally. Data from 33 centers in 16 countries on 5 continents showed that attendance at tuberculosis centers was lower during the first 4 months of the pandemic in 2020 than for the same period in 2019. Resources are needed to ensure tuberculosis care continuity during the pandemic