Towards the ultimate regime in Rayleigh-Darcy convection

Numerical simulations are used to probe Rayleigh-Darcy convection in fluid-saturated porous media towards the ultimate regime. The present three-dimensional dataset, up to Rayleigh-Darcy number, suggests that the appropriate scaling of the Nusselt number is, fitting the computed data for. Extrapolation of current predictions to the ultimate linear regime yields the asymptotic law, about less than indicated in previous studies. Upon examination of the flow structures near the boundaries, we confirm previous indications of small flow cells hierarchically nesting into supercells, and we show evidence that the supercells at the boundary are the footprints of the megaplumes that dominate the interior part of the flow. The present findings pave the way for more accurate modelling of geophysical systems, with special reference to geological sequestration

Strong Rayleigh-Darcy convection regime in three-dimensional porous media

We perform large-scale numerical simulations to study Rayleigh-Darcy convection in three-dimensional fluid-saturated porous media up to Rayleigh-Darcy number. At these large values of, the flow is dominated by large columnar structures - called megaplumes - which span the entire height of the domain. Near the boundaries, the flow is hierarchically organized, with fine-scale structures interacting and nesting to form larger-scale structures called supercells. We observe that the correlation between the flow structure in the core of the domain and at the boundaries decreases only slightly for increasing, and remains rather high even at the largest considered here. This confirms that supercells are the boundary footprint of megaplumes dominating the core of the domain. In agreement with available literature predictions, we show that the thickness of the thermal boundary layer scales very well with the Nusselt number as. Measurements of the mean wavenumber - inverse of the mean length scale - in the core of the flow support the scaling, in very good agreement with theoretical and numerical predictions. Interestingly, the behaviour of the mean wavenumber near the boundaries scales as, which is distinguishably different from the presumed linear behaviour. We hypothesize that a linear behaviour can only be observed in the ultimate regime, which we argue to set in only at in excess of, whereas a sublinear behaviour is recovered at more modest. The present results are expected to help the development of long desired reliable models to predict the large- and fine-scale structure of Rayleigh-Darcy convection in the high- regime typically encountered in geophysical processes, such as for instance in geological carbon dioxide sequestration

Clinical evaluation of seven tumour markers in lung cancer diagnosis: can any combination improve the results?

In this study we compared the diagnostic utility of: (1) neuron-specific enolase (NSE); (2) squamous cell carcinoma antigen (SCC); (3) carcinoembryonic antigen (CEA); and (4) cytokeratin markers (CYFRA 21-1, TPA, TPM, TPS) in patients with small-cell lung cancer (SCLC) (21 cases) and non-small-cell lung cancer (94 cases). For comparison we also studied 66 patients with benign lung diseases and nine with pleural mesothelioma. NSE levels in SCLC patients were significantly higher than those in all the other groups studied. No significant variations were found among the SCC levels in all groups. CEA levels in patients with adenocarcinoma were significantly higher than those in all other groups studied. CYFRA 21-1 serum levels significantly increased in patients with squamous cell carcinoma and mesothelioma, while TPA, TPS and TPM increased in patients with lung cancer irrespective of the histological type. In patients with SCLC, high levels of all markers except SCC were found when the disease was extensive. In patients with non-SCLC, the highest levels of all tumour markers were usually found in those with advanced disease, although CYFRA 21-1 gave a sensitivity of 44% when a specificity of 95% was fixed in stage I non-SCLC patients. An analysis of receiver operating characteristic curves revealed that the highest diagnostic accuracies in distinguishing benign from malignant lung diseases were achieved with TPM (81%), CYFRA 21-1 (72%), CEA (78%) or TPA (78%) when using cut-off values of 46 Ul-1, 3.0 micrograms l-1, 2.0 micrograms l-1 and 75 Ul-1 respectively. When all patients were considered, the combined evaluation of more than one marker did not significantly improve the results obtained with TPM alone. However, taking into consideration the fact that CYFRA 21-1 is the most sensitive index of early lung tumours and that its combined determination with TPM did not worsen the overall sensitivity and specificity of the latter, the combined use of these two markers may be suggested as a useful took for the diagnosis of lung tumours

Web conversations about complementary and alternative medicines and cancer: Content and sentiment analysis

Background: The use of complementary and alternative medicine (CAM) among cancer patients is widespread and mostly self-administrated. Today, one of the most relevant topics is the nondisclosure of CAM use to doctors. This general lack of communication exposes patients to dangerous behaviors and to less reliable information channels, such as the Web. The Italian context scarcely differs from this trend. Today, we are able to mine and analyze systematically the unstructured information available in the Web, to get an insight of people's opinions, beliefs, and rumors concerning health topics. Objective: Our aim was to analyze Italian Web conversations about CAM, identifying the most relevant Web sources, therapies, and diseases and measure the related sentiment. Methods: Data have been collected using the Web Intelligence tool ifMONITOR. The workflow consisted of 6 phases: (1) eligibility criteria definition for the ifMONITOR search profile; (2) creation of a CAM terminology database; (3) generic Web search and automatic filtering, the results have been manually revised to refine the search profile, and stored in the ifMONITOR database; (4) automatic classification using the CAM database terms; (5) selection of the final sample and manual sentiment analysis using a 1-5 score range; (6) manual indexing of the Web sources and CAM therapies type retrieved. Descriptive univariate statistics were computed for each item: absolute frequency, percentage, central tendency (mean sentiment score [MSS]), and variability (standard variation Ò). Results: Overall, 212 Web sources, 423 Web documents, and 868 opinions have been retrieved. The overall sentiment measured tends to a good score (3.6 of 5). Quite a high polarization in the opinions of the conversation partaking emerged from standard variation analysis (δ≥1). In total, 126 of 212 (59.4%) Web sources retrieved were nonhealth-related. Facebook (89; 21%) and Yahoo Answers (41; 9.7%) were the most relevant. In total, 94 CAM therapies have been retrieved. Most belong to the "biologically based therapies or nutrition" category: 339 of 868 opinions (39.1%), showing an MSS of 3.9 (δ=0.83). Within nutrition, "diets" collected 154 opinions (18.4%) with an MSS of 3.8 (δ=0.87); "food as CAM" overall collected 112 opinions (12.8%) with a MSS of 4 (δ=0.68). Excluding diets and food, the most discussed CAM therapy is the controversial Italian "Di Bella multitherapy" with 102 opinions (11.8%) with an MSS of 3.4 (δ=1.21). Breast cancer was the most mentioned disease: 81 opinions of 868. Conclusions: Conversations about CAM and cancer are ubiquitous. There is a great concern about the biologically based therapies, perceived as harmless and useful, under-rating all risks related to dangerous interactions or malnutrition. Our results can be useful to doctors to be aware of the implications of these beliefs for the clinical practice. Web conversation exploitation could be a strategy to gain insights of people's perspective for other controversial topics

Innovative Virtual Lab for Improving Safety and Port Operations

Computer simulation makes it possible to reproduce real systems and processes in a synthetic environment. In this way virtual analysis turn to be possible and it complex scenarios are suitable to be simulated. In the proposed paper is presented a port system where to study the behavior respect operations and accidents and to consider interaction among multiple players. The simulation is applied to create a Virtual Lab able to evaluate and investigate the development of new procedures, contingency plans during crises. The development of models to be used in simulations is clearly a critical aspect, since the consistency of the simulation depend on the quality of the models and their interaction; in this case the authors used their experience in the field to guarantee a successful Verification and Validation. In this case study, models are used for simulations of phenomena related to port accidents and crises with particular attention to dispersion system of liquid contaminant on sea surface and dispersion of toxic gases into atmosphere. These models have been tested in the Alacres2 simulator in order to create as an effective tool to observe and study the evolution and impact of dangerous situations, as well as a decision-making support to define response plans crises

Quality of life assessment in elderly patients with aggressive non-Hodgkin's Lymphoma treated with anthracycline-containing regimens. Report of a prospective study by the Intergruppo Italiano Linfomi

Background and Objectives. The aim of this study was to evaluate quality of life (QOL) in a group of elderly patients ( > 65 years) with aggressive non-Hodgkin's lymphoma (NHL) treated with chemotherapy regimens containing anthracyclines. Design and Methods. QOL was evaluated in a population of elderly patients with aggressive NHL enrolled in a phase III clinical trial run by the Intergruppo Italiano Linfomi (11L) from 1996 to 1999 to compare two different anthracycline-containing regimens (mini-CEOP vs P-VEBEC). The EORTC-QLQ-C30 questionnaire, which has already been validated in oncology, was used. The questionnaire was administered at the time of diagnosis, half way through the chemotherapy and at the time of restaging. Results. Ninety-one patients completed pre-therapy and post-therapy questionnaires and they are the subject of this report. Baseline QOL assessment showed a strong correlation of poor values of QOL with anemia and high risk according to the International Prognostic Index (IPI). At the end of treatment no functional scales showed worse values. A significant improvement was observed for pain (p = 0.003), appetite (p = 0.006), sleep (p = 0.015) and global health (p = 0.027). Considering only the 50 patients who achieved a complete remission (CR), an improvement was also recorded for emotional state (p = 0.10), role (P = 0.05), constipation (p = 0.04) and global QOL (p = 0.05). Interpretation and Conclusions. The EORTC-QLQ-C30 is feasible even in a population of elderly patients, in whom it had never been tested before. The improvement of QOL at the end of the treatment demonstrated that the symptoms of the disease have a greater negative influence on the patient's life than do the side effects of the therapy

A prospective seroepidemiological study of human herpesvirus-8 infection and the risk of multiple myeloma

Presence of the Human Herpesvirus 8 (HHV8) genome has been reported in the bone marrow of multiple myeloma (MM) patients. So far, serological studies of HHV8 and MM have been inconsistent but have not included prospective epidemiological studies. We evaluated whether HHV8 infection is associated with increased risk for MM in a prospective population-based study of 39 000 Finnish subjects who donated serum samples in the period 1968–72. Serum samples from 47 subjects who developed MM during a 23-year follow-up and 224 age, area of residence and sex-matched subjects who remained healthy over a similar follow-up period were evaluated for HHV8 antibodies at enrolment, as assayed both with an immunofluorescence assay (IFA) for lytic and latent HHV8 antigens and by Western blot (WB) with three recombinant HHV8 proteins (ORFs 65, 73 and K8.1A). HHV8 seropositivity for at least one HHV8 protein on WB was found in 7% of the Finnish population and was not associated with the risk of developing MM (Relative Risk (RR) = 0.89, Confidence Interval (CI): 0.25–3.25). HHV8 seropositivity for lytic and latent antigens in the IFA was found in 16% and 0.4% of the Finnish population and tended to associate with risk of MM (RR = 2.02, CI: 0.94–4.33 and RR = 10.00, CI: 0.91–110.29, respectively). In conclusion, no statistically significant evidence for an association between HHV8 infection and the risk of future MM was found. © 2001 Cancer Research Campaign http://www.bjcancer.co

Use of complementary and alternative medicine (CAM) in cancer patients. An italian multicenter survey

INTRODUCTION: Complementary and Alternative Medicine (CAM) include a wide range of products (herbs, vitamins, minerals, and probiotics) and medical practices, developed outside of the mainstream Western medicine. Patients with cancer are more likely to resort to CAM first or then in their disease history; the potential side effects as well as the costs of such practices are largely underestimated. PATIENTS AND METHOD: We conducted a descriptive survey in five Italian hospitals involving 468 patients with different malignancies. The survey consisted of a forty-two question questionnaire, patients were eligible if they were Italian-speaking and receiving an anticancer treatment at the time of the survey or had received an anticancer treatment no more than three years before participating in the survey. RESULTS: Of our patients, 48.9% said they use or have recently used CAM. The univariate analysis showed that female gender, high education, receiving treatment in a highly specialized institute and receiving chemotherapy are associated with CAM use; at the multivariate analysis high education (Odds Ratio, (OR): 1.96 95% Confidence Interval, CI, 1.27-3.05) and receiving treatment in a specialized cancer center (OR: 2.75 95% CI, 1.53-4.94) were confirmed as risk factors for CAM use. CONCLUSION: Roughly half of our patients receiving treatment for cancer use CAM. It is necessary that health professional explore the use of CAM with their cancer patients, educate them about potentially beneficial therapies in light of the limited available evidence of effectiveness, and work towards an integrated model of health-care provision

The SEEMP Approach to Semantic Interoperability for E-Employment

SEEMP is a European Project that promotes increased partnership between labour market actors and the development of closer relations between private and public employment services, making optimal use of the various actors’ specific characteristics, thus providing job-seekers and employers with better services. The need for a flexible collaboration gives rise to the issue of interoperability in both data exchange and share of services. SEEMP proposes a solution that relies on the concepts of services and semantics in order to provide a meaningful service-based communication among labour market actors requiring a minimal shared commitment

SEEMP: A marketplace for the Labour Market

Employment Services are an important topic in the agenda of local governments and in the EU due to their social implications, such as sustainability, workforce mobility, workers’ re-qualification paths, training for fresh graduates and students. Many administrations started their own E-Government projects whose imitations emerge as the demand of workers mobility increases. The SEEMP system presented in this paper overcomes this issue in different ways: starting bilateral communications with near-border similar offices, building a federation of the local employment services, and merging isolate trials. The SEEMP approach relies on a distributed semantic service oriented infrastructure able to federate local projects, in order to create geographically aggregated services for employment by leveraging existing local ones. The social and technical aspects of the SEEMP project are presented, showing how the SEEMP system is integrated with National level systems