A shear cell study on oral and inhalation grade lactose powders

Abstract Shear cell tests have been conducted on twenty different lactose powders, most of which commercially available for oral or inhalation purposes, spanning a wide range of particle sizes, particle morphologies, production processes. The aims of the investigation were: i) to verify the reliability of the technique in evaluating and classifying the flowability of powders; ii) to understand the connection between the flowability of a powder and the morphological properties of its particles; iii) to find a general mathematical relationship able to predict the yield locus shape given the particle size, shape and consolidation state of a lactose powder. These aspects and their limitations are detailed in the manuscript together with other interesting findings on the stick-slip behavior observed in most of the lactose powders examined

A Project to Promote English Learning in Primary School: “An English Island®” E-learning Platform

The present study was aimed to investigate English learning as second language, in school, in first, second and third graders of twelve classes randomly assigned to a control or an experimental group. Children in the latter are exposed during English school teaching to the method “An English Island®” and to its platform activities. The method “An English Island®” offers a variety of strategies for teaching English in primary school, an innovative digital tool that promotes teaching/learning English language’s communicative approach, lead students to become familiar with the language in a sort of continuous, inclusive workout, in which everyone participates and talks. English skills as well as cognitive abilities are tested in both groups at the beginning and at the end of the school year with the aim to compare control and experimental classes in both a longitudinal and a cross-sectional design

Seasonal Changes in Titan's Southern Stratosphere

In August 2009 Titan passed through northern spring equinox, and the southern hemisphere passed into fall. Since then, the moon's atmosphere has been closely watched for evidence of the expected seasonal reversal of stratospheric circulation, with increased northern insolation leading to upwelling, and consequent downwelling at southern high latitudes. If the southern winter mirrors the northern winter, this circulation will be traced by increases in short-lived gas species advected downwards from the upper atmosphere to the stratosphere. The Cassini spacecraft in orbit around Saturn carries on board the Composite Infrared Spectrometer (CIRS), which has been actively monitoring the trace gas populations through measurement of the intensity of their infrared emission bands (7-1000 micron). In this presentation we will show fresh evidence from recent CIRS measurements in June 2012, that the shortest-lived and least abundant minor species (C3H4, C4H2, C6H6, HC3N) are indeed increasing dramatically southwards of 50S in the lower stratosphere. Intriguingly, the more stable gases (C2H2, HCN, CO2) have yet to show this trend, and continue to exhibit their 'summer' abundances, decreasing towards the south pole. Possible chemical and dynamical explanations of these results will be discussed , along with the potential of future CIRS measurements to monitor and elucidate these seasonal changes

Robot assisted laparoscopic excision of a paraganglioma: new therapeutic approach

The Paraganglioma is the most common extra-adrenal pheochromocytoma arising from neural crest (1) (It will better to write: The paraganglioma is an extra-adrenal pheocromocytoma arising from the neural crest. 10% of pheocromocytomas are extra-adrenal and can arise form chromaffin tissue derived from primitive neuroectoderm). Minimally invasive techniques allow surgeons to perform the procedure without wide exposure and mobilization of intra abdominal organs. To our knowledge we present the third case of robotic excision of a retroperitoneal paraganglioma (2,3)

Robot assisted laparoscopic excision of a paraganglioma: new therapeutic approach

The Paraganglioma is the most common extra-adrenal pheochromocytoma arising from neural crest (1) (It will better to write: The paraganglioma is an extra-adrenal pheocromocytoma arising from the neural crest. 10% of pheocromocytomas are extra-adrenal and can arise form chromaffin tissue derived from primitive neuroectoderm). Minimally invasive techniques allow surgeons to perform the procedure without wide exposure and mobilization of intra abdominal organs. To our knowledge we present the third case of robotic excision of a retroperitoneal paraganglioma (2,3)

Water Vapor in Titan's Stratosphere from Cassini/CIRS Far-infrared Spectra

Since the first detection of water vapor in Titan's stratosphere by disk-average observations from the Infrared Space Observatory (Coustenis et al. 1998) we report here the successful detection of stratospheric water vapor using the Cassini Composite Infrared Spectrometer (CIRS, Flasar et al. 2004). CIRS senses water emissions in the far infrared spectral region near 50 microns, which we have modeled using two independent radiative transfer codes (NEMESIS, Irwin et al 2008 and ART, Coustenis et al. 2007, 2010). From the analysis of nadir spectra we have derived a mixing ratio of (0.14 0.05) ppb at an altitude of 97 kilometers, which corresponds to an integrated (from 0 to 600 kilometers) surface normalized column abundance of (3.7 plus or minus 1.3) x 10(exp 14) molecules per square centimeter. In the latitude range 80 S to 30 N we see no evidence for latitudinal variations in these abundances within the error bars. Using limb observations, we obtained mixing ratios of (0.13 plus or minus 0.04) ppb at an altitude of 115 kilometers and (0.45 plus or minus 0.15) ppb at an altitude of 230 kilometers, confirming that the water abundance has a positive vertical gradient as predicted by photochemical models (e.g. Lara et al. 1996, Wilson and Atreya 2004, Horst et al. 2008); retrieved scaling factors (from approximately 0.1 to approximately 0.6) to the water profile suggested by these models show that water vapor is present in Titan stratosphere with less abundance than predicted

Predicting heart failure outcome from cardiac and comorbid conditions: The 3C-HF score

Background: Prognostic stratification in heart failure (HF) is crucial to guide clinical management and treatment decision-making. Currently available models to predict HF outcome have multiple limitations. We developed a simple risk stratification model, based on routinely available clinical information including comorbidities, the Cardiac and Comorbid Conditions HF (3C-HF) Score, to predict all-cause 1-year mortality in HF patients. Methods: We recruited in a cohort study 6274 consecutive HF patients at 24 Cardiology and Internal Medicine Units in Europe. 2016 subjects formed the derivation cohort and 4258 the validation cohort.Weentered information on cardiac and comorbid candidate prognostic predictors in amultivariablemodel to predict 1-year outcome

Seasonal Changes in Titan's Surface Temperatures

Seasonal changes in Titan's surface brightness temperatures have been observed by Cassini in the thermal infrared. The Composite Infrared Spectrometer (CIRS) measured surface radiances at 19 micron in two time periods: one in late northern winter (Ls = 335d eg) and another centered on northern spring equinox (Ls = 0 deg). In both periods we constructed pole-to-pole maps of zonally averaged brightness temperatures corrected for effects of the atmosphere. Between late northern winter and northern spring equinox a shift occurred in the temperature distribution, characterized by a warming of approximately 0.5 K in the north and a cooling by about the same amount in the south. At equinox the polar surface temperatures were both near 91 K and the equator was 93.4 K. We measured a seasonal lag of delta Ls approximately 9 in the meridional surface temperature distribution, consistent with the post-equinox results of Voyager 1 as well as with predictions from general circulation modeling. A slightly elevated temperature is observed at 65 deg S in the relatively cloud-free zone between the mid-latitude and southern cloud regions

Evolution of the Far-infrared Cloud at Titan's South Pole

A condensate cloud on Titan identified by its 220 cm (sup -1) far-infrared signature continues to undergo seasonal changes at both the north and south poles. In the north the cloud, which extends from 55 North to the pole, has been gradually decreasing in emission intensity since the beginning of the Cassini mission with a half-life of 3.8 years. The cloud in the south did not appear until 2012 but its intensity has increased rapidly, doubling every year. The shape of the cloud at the South Pole is very different from that in the north. Mapping in December 2013 showed that the condensate emission was confined to a ring with a maximum at 80 South. The ring was centered 4 degrees from Titan's pole. The pattern of emission from stratospheric trace gases like nitriles and complex hydrocarbons (mapped in January 2014) was also offset by 4 degrees, but had a central peak at the pole and a secondary maximum in a ring at about 70 South with a minimum at 80 South. The shape of the gas emissions distribution can be explained by abundances that are high at the atmospheric pole and diminish toward the equator, combined with correspondingly increasing temperatures. We discuss possible causes for the condensate ring. The present rapid build up of the condensate cloud at the South Pole is likely to transition to a gradual decline during 2015-16