Digital design of medical replicas via desktop systems: shape evaluation of colon parts

In this paper, we aim at providing results concerning the application of desktop systems for rapid prototyping of medical replicas that involve complex shapes, as, for example, folds of a colon. Medical replicas may assist preoperative planning or tutoring in surgery to better understand the interaction among pathology and organs. Major goals of the paper concern with guiding the digital design workflow of the replicas and understanding their final performance, according to the requirements asked by the medics (shape accuracy, capability of seeing both inner and outer details, and support and possible interfacing with other organs). In particular, after the analysis of these requirements, we apply digital design for colon replicas, adopting two desktop systems. ,e experimental results confirm that the proposed preprocessing strategy is able to conduct to the manufacturing of colon replicas divided in self-supporting segments, minimizing the supports during printing. ,is allows also to reach an acceptable level of final quality, according to the request of having a 3D presurgery overview of the problems. ,ese replicas are compared through reverse engineering acquisitions made by a structured-light system, to assess the achieved shape and dimensional accuracy. Final results demonstrate that low-cost desktop systems, coupled with proper strategy of preprocessing, may have shape deviation in the range of ±1 mm, good for physical manipulations during medical diagnosis and explanation

Meridional-energy-transport extremes and the general circulation of Northern Hemisphere mid-latitudes: dominant weather regimes and preferred zonal wavenumbers

The extratropical meridional energy transport in the atmosphere is fundamentally intermittent in nature, having extremes large enough to affect the net seasonal transport. Here, we investigate how these extreme transports are associated with the dynamics of the atmosphere at multiple spatial scales, from planetary to synoptic. We use the ERA5 reanalysis data to perform a wavenumber decomposition of meridional energy transport in the Northern Hemisphere mid-latitudes during winter and summer. We then relate extreme transport events to atmospheric circulation anomalies and dominant weather regimes, identified by clustering 500 hPa geopotential height fields. In general, planetary-scale waves determine the strength and meridional position of the synoptic-scale baroclinic activity with their phase and amplitude, but important differences emerge between seasons. During winter, large wavenumbers (k = 2–3) are key drivers of the meridional-energy-transport extremes, and planetary- and synoptic-scale transport extremes virtually never co-occur. In summer, extremes are associated with higher wavenumbers (k = 4–6), identified as synoptic-scale motions. We link these waves and the transport extremes to recent results on exceptionally strong and persistent cooccurring summertime heat waves across the Northern Hemisphere mid-latitudes. We show that the weather regime structures associated with these heat wave events are typical for extremely large poleward-energy-transport events

Synthesis and characterization of palladacyclopentadiene complexes with N-heterocyclic carbene ligands

New palladacyclopentadiene compounds containing different chelate NHC-thioether and NHC-pyridine ligands have been prepared by transfer of the functionalized carbenes from the respective silver complexes to the polymeric precursors [PdC-COOR)4]n (R = Me, t-Bu). Their dynamic behaviour in solution was discussed and the solid-structure of 2c was determined by X-ray crystallography. The treatment of [Pd(C-COOCH3)4]n with two equivalents of the carbene silver complexes led to the (NHC)2Pd(C4-COOCH3)4 derivatives (3cei), a new class of compounds with only PdeC bonds. A serious limitation to this synthetic procedure is an excessive steric crowding around the metal centre. The complexes 3 are present in solution as a mixture of two atropoisomers, due to restricted rotation around the CarbeneePd bond. The kinetics of equilibration between the two configurational isomers was studied for complex 3c, which was also structurally defined by X-ray crystallography (anti isomer). Finally a synthetic protocol was set up for the synthesis of mixed NHC-Phosphine and NHC-Isocyanide palladacyclopentadiene complexes. In this procedure the order of addition of the reactants is of great importanc

Crossmodal Semantic Congruence Interacts with Object Contextual Consistency in Complex Visual Scenes to Enhance Short-Term Memory Performance

Object sounds can enhance the attentional selection and perceptual processing of semanticallyrelated visual stimuli. However, it is currently unknown whether crossmodal semantic congruence also affects the post-perceptual stages of information processing, such as short-term memory (STM), and whether this effect is modulated by the object consistency with the background visual scene. In two experiments, participants viewed everyday visual scenes for 500 ms while listening to an object sound, which could either be semantically related to the object that served as the STM target at retrieval or not. This defined crossmodal semantically cued vs. uncued targets. The target was either in- or out-of-context with respect to the background visual scene. After a maintenance period of 2000 ms, the target was presented in isolation against a neutral background, in either the same or different spatial position as in the original scene. The participants judged the same vs. different position of the object and then provided a confidence judgment concerning the certainty of their response. The results revealed greater accuracy when judging the spatial position of targets paired with a semantically congruent object sound at encoding. This crossmodal facilitatory effect was modulated by whether the target object was in- or out-of-context with respect to the background scene, with out-of-context targets reducing the facilitatory effect of object sounds. Overall, these findings suggest that the presence of the object sound at encoding facilitated the selection and processing of the semantically related visual stimuli, but this effect depends on the semantic configuration of the visual scene

Integrated Governance and Management Index (iGG) of the Federal Court of Auditors (TCU): Quality of Governance and Public Management – Technological Innovation Index

To describe the Integrated Governance and Management Index (iGG) used by the Federal Court of Auditors (TCU) by discussing the relevance of its applicability for improving the quality of public management in Brazil. The reports issued by the governance evaluations conducted by the TCU from 2007 to 2019 were examined. The analyses showed that the process of constitution of the current iGG proceeded to the creation of different evaluation indices that were later gathered to constitute and configure the current iGG. The results showed that iGG has significantly contributed to improving the quality of public management in Brazil in view of the growth of the index values pointed out in its reports. Finally, the study suggests the iGG process can be considered a technological innovation, based on the Organization for Economic Cooperation and Development (OECD) concept.

The unexpected case of reactions of halogens and interhalogens with halide substituted Pd(II) sigma-butadienyl complexes

We have experimentally studied and theoretically interpreted the addition under stoichiometric conditions of halogens or interhalogens to sigma-butadienyl palladium complexes bearing the heteroditopic thioquinolines as spectator ligands. The observed reactions do not involve the expected extrusion of the butadienyl fragment but rather the unpredictable substitution of the halide coordinated to palladium and in some cases also of that bound to the terminal butadienyl carbon. We have explained this peculiar reactivity with a mechanistic hypothesis based on a sequence of selective processes of oxidative addition and reductive elimination involving Pd(IV) intermediates

Isocyanide insertion across the Pd–C bond of allenyl and propargyl palladium complexes bearing phosphoquinoline as a spectator ligand. Synthesis of a palladium complex bearing a coordinated cyclobutenyl fragment

We have studied the insertion of p-toluenesulfonylmethyl isocyanide (TosMIC) on selected allenyl and propargyl complexes of palladium bearing diphenylphosphine quinoline as a spectator ligand. The fast process gives different products depending on the tautomer involved in the reaction. Thus, the unsubstituted allenyl species yields an insertion complex with the isocyanide coordinated between the metal and the first allenyl carbon. On the other hand, a mixture of phenyl substituted allenyl and propargyl palladium complexes yields a novel species characterized by a cyclo-butenyl fragment directly coordinated to palladium. The solid state structure of such a complex together with an exhaustive kinetic study of the whole process is reported

Superconducting properties and electron scattering mechanisms in a Nb film with a single weak-link excavated by focused ion beam

Granularity is one of the main features restricting the maximum current which a superconductor can carry without losses, persisting as an important research topic when applications are concerned. To directly observe its effects on a typical thin superconducting specimen, we have modeled the simplest possible granular system by fabricating a single artificial weak-link in the center of a high-quality Nb film using the focused ion beam technique. Then, its microstructural, magnetic, and electric properties in both normal and superconducting states were studied. AC susceptibility, DC magnetization, and magneto-transport measurements reveal well-known granularity signatures and how they negatively affect superconductivity. Moreover, we also investigate the normal state electron scattering mechanisms in the Boltzmann theory framework. The results clearly demonstrate the effect of the milling technique, giving rise to an additional quadratic-in-temperature contribution to the usual cubic-in-temperature sd band scattering for the Nb film. Finally, by analyzing samples with varying density of incorporated defects, the emergence of the additional contribution is correlated to a decrease in their critical temperature, in agreement with recent theoretical results

2020 WSES guidelines for the detection and management of bile duct injury during cholecystectomy.

Bile duct injury (BDI) is a dangerous complication of cholecystectomy, with significant postoperative sequelae for the patient in terms of morbidity, mortality, and long-term quality of life. BDIs have an estimated incidence of 0.4-1.5%, but considering the number of cholecystectomies performed worldwide, mostly by laparoscopy, surgeons must be prepared to manage this surgical challenge. Most BDIs are recognized either during the procedure or in the immediate postoperative period. However, some BDIs may be discovered later during the postoperative period, and this may translate to delayed or inappropriate treatments. Providing a specific diagnosis and a precise description of the BDI will expedite the decision-making process and increase the chance of treatment success. Subsequently, the choice and timing of the appropriate reconstructive strategy have a critical role in long-term prognosis. Currently, a wide spectrum of multidisciplinary interventions with different degrees of invasiveness is indicated for BDI management. These World Society of Emergency Surgery (WSES) guidelines have been produced following an exhaustive review of the current literature and an international expert panel discussion with the aim of providing evidence-based recommendations to facilitate and standardize the detection and management of BDIs during cholecystectomy. In particular, the 2020 WSES guidelines cover the following key aspects: (1) strategies to minimize the risk of BDI during cholecystectomy; (2) BDI rates in general surgery units and review of surgical practice; (3) how to classify, stage, and report BDI once detected; (4) how to manage an intraoperatively detected BDI; (5) indications for antibiotic treatment; (6) indications for clinical, biochemical, and imaging investigations for suspected BDI; and (7) how to manage a postoperatively detected BDI