Multidisciplinary design optimization of a sailplan

In this paper, multi-disciplinary optimization techniques are applied to sail design. Two different mathematical models, providing the solution of the fluid-dynamic and the structural problems governing the behaviour of a complete sailplan, are coupled in a fluid-structure interaction (FSI) scheme, in order to determine the real flying shape of the sails and the forces acting on them. A numerical optimization algorithm is then applied, optimizing the structural pattern of the sailplan in order to maximize the driving force or other significant quantities

Real-time automatic integrated monitoring of barn environment and dairy cattle behaviour: Technical implementation and evaluation on three commercial farms

Due to increasing herd sizes and automation on dairy farms there is an important need for automated monitoring of cow production, health, and welfare. Despite much progress in automatic monitoring techniques, there is still a need to integrate data from multiple sources to create a comprehensive overview and accurate diagnosis of a cow’s state. To aid the technological development of data integration, a prototype of an open and customizable automatic system that integrates data from multiple sensors relating to barn environment and cow behaviour was developed. The system integrates data from sensors that measure barn climate (e.g., temperature, humidity, wind speed), air quality (e.g., CO2 concentration), water use and temperature, the moisture and temperature of the litter and cow behaviour (e.g., lying, eating, ruminating). An external weather system and video recording system are also included. The system’s architecture consists of four main elements: sensors, nodes, gateways, and backend. The data are recorded by sensors, then locally processed on custom-developed sensor nodes, and then transmitted via radio channels to local gateways that combine the data from multiple nodes and transmit them to distributed digital storage (“the cloud”) via a 3G/4G cellular network. On the cloud, the data are further processed and stored in a database. The data are then presented to the user continuously and in real time on a dashboard that can be accessed via the internet. In the design of the local wireless network, care was taken to avoid data packet collision and thus to minimize data loss. To test the system’s performance, the system was installed and operated on three commercial dairy cattle farms for one year. The system provided high data stability with minimal loss and outliers, showing that the system is reliable and suitable for long term application on commercial dairy farms. The system’s architecture, communication network, and data processing and visualization applications form an open framework for research and development purposes, allowing it to be customized and fine-tuned before being deployed as a management assistant on commercial dairy farms. Missing elements that should be added in the future are the integration of the data from the milking parlour and cow identification. Algorithms to integrate information from multiple sensors can be added to provide a comprehensive system that monitors all aspects related to cow welfare, health, and production automatically, remotely and in real time, thereby supporting farmers in important management decision-making

Prophylaxis of Ocular Infection in the Setting of Intraocular Surgery: Implications for Clinical Practice and Risk Management

In this review we discuss the role of intraocular surgery preoperative prophylaxis. The correct choice of antimicrobial drug is variable in each surgical setting, according to the available strengths of evidence, the anatomical district involved, and the type of procedure. In the ophthalmic surgical field, there has been a progressive shift from antibiotic formulations, which are known to cause antibiotic resistance, to a new class of antiseptic compounds, which proved to be effective not only against bacteria, but also against fungi, protozoa, and viruses. Among these, povidone-iodine (PVI) is a water-soluble polymer that can form a complex with iodine, and the perioperative application of PVI 5-10% eye drop for 3 min is the gold standard for infection prophylaxis. A new formulation of 0.6% PVI eye drop is a new option for infection prophylaxis in the days before surgery. Chlorhexidine is a biguanide compound, which is a valid alternative with a good safety and efficacy profile and is the antiseptic of choice in patients with iodine allergy. New compounds that are currently being studied include polyhexamethylene biguanide (PHMB), picloxydine, ozone, hypochlorous acid (HOCl), and Biosecur. PHMB is a biguanide polymer that was found to be more effective than PVI in in vitro studies for reducing microorganisms and extending the duration of antisepsis, but to date, there are no formulations available on the market for preoperative ocular surgery in which it is present as main ingredient. Ozone is a molecule with oxidizing effect, which showed interesting preliminary results but is not effective against virus, Staphylococcus aureus and Candida albicans. HOCl has a natural bactericidal propriety but its applicability to prophylaxis of ocular infection in the setting of ocular surgery is not established. Biosecur is a non-toxic organic alcohol-free compound that exhibited bactericidal and fungicidal effect versus all common microorganisms and is currently available as an ocular spray

Impact of Ozone-initiated Terpene Chemistry on Indoor Air Quality and Human Health

The ECA Report no. 26 on ¿Ozone-Initiated Chemistry and Its impact on Indoor Air Quality and Human Health¿ summarises the current state-of-the-art concerning indoor air pollution and health due to chemical reactions occurring indoors makes recommendation for research priorities for the future. More sepcifically, a state-of-the-art review on the scientific evidence concerning ozone-initiated terpene chemistry and related human health effects is given along with measurements methods so far developed to monitor the concentration of the key reactants ozone and terpene and finally a risk assessment methodology for indoor ozone-initiated terpene chemistry is described.JRC.I.5-Physical and chemical exposure

Obstructive sleep apnea and Fuhrman grade in patients with clear cell renal cell carcinoma treated surgically

PURPOSE: To assess the association between obstructive sleep apnea (OSA) and Fuhrman grade in patients with clear cell renal cell carcinoma (ccRCC). As secondary endpoints, we studied its association with tumor size, metastasis-free survival (MFS) and cancer-specific survival (CSS). METHODS: We reviewed the databases of two tertiary care centers, identifying 2579 patients who underwent partial or radical nephrectomy for ccRCC between 1991 and 2014. Descriptive statistics were used to compare pathologic variables between patients with and without OSA. Linear and logistic regression models were used to assess the association of OSA with Fuhrman grade and tumor size. A Cox proportional hazards model was used to determine OSA association with MFS and CSS. A pathway analysis was performed on a cohort with available gene expression data. RESULTS: In total, 172 patients (7 %) had self-reported OSA at diagnosis. More patients with OSA had high Fuhrman grade compared to those without OSA [51 vs. 38 %; 13 % risk difference; 95 % confidence interval (CI), 5-20 %; p = 0.003]. On multivariable analysis, the association remained significant (OR 1.41; 95 % CI 1.00-1.99; p = 0.048). OSA was not associated with tumor size (p > 0.5), MFS (p = 0.5) or CSS (p = 0.4). A trend toward vascular endothelial growth factor pathway enrichment was seen in OSA patients (p = 0.08). CONCLUSIONS: OSA is associated with high Fuhrman grade in patients undergoing surgery for ccRCC. Pending validation of this novel finding in further prospective studies, it could help shape future research to better understand etiological mechanisms associated

Technical and Functional Validation of a Teleoperated Multirobots Platform for Minimally Invasive Surgery

Nowadays Robotic assisted Minimally Invasive Surgeries (R-MIS) are the elective procedures for treating highly accurate and scarcely invasive pathologies, thanks to their abil- ity to empower surgeons\u2019 dexterity and skills. The research on new Multi-Robots Surgery (MRS) platform is cardinal to the development of a new SARAS surgical robotic platform, which aims at carrying out autonomously the assistants tasks during R- MIS procedures. In this work, we will present the SARAS MRS platform validation protocol, framed in order to assess: (i) its technical performances in purely dexterity exercises, and (ii) its functional performances. The results obtained show a prototype able to put the users in the condition of accomplishing the tasks requested (both dexterity- and surgical-related), even with rea- sonably lower performances respect to the industrial standard. The main aspects on which further improvements are needed result to be the stability of the end effectors, the depth per- ception and the vision systems, to be enriched with dedicated virtual fixtures. The SARAS\u2019 aim is to reduce the main surgeon\u2019s workload through the automation of assistive tasks which would benefit both surgeons and patients by facilitating the surgery and reducing the operation time

A core collection of the Italian flora for the bioprospection of precious bioactive phytochemicals

The huge diversity in terms of structures, functions, and bioactivities exhibited by plant specialized metabolites represents a valuable resource for bioprospecting, i.e. the exploration of biodiversity for new resources of social and commercial value. Within the frame of Spoke 6 of the National Biodiversity Future Center, we set up a wide bioprospection plan to cover the extensive phytochemical diversity expressed within the vascular and non-vascular Italian flora (more than 11,000 taxa), the former holding the primacy in Europe for the number of native species. We indeed selected about 700 species on a phylogenetic basis to create a core collection in which all Italian plant families are represented, in accordance to their relative amplitudes (e.g., for the Angiosperms, in order: Asteraceae, Poaceae, Fabaceae, Rosaceae, Caryophyllaceae, Brassicaceae, Apiaceae, Lamiaceae, etc.). Plants were sampled from Italian botanic gardens, nurseries, and open fields from various geographical regions of Italy to include species adapted to different environments. Among the vascular section of the collection, about 75% of the species are native (comprising 51 endemic species), and 25% are alien (including 47 casual and 93 naturalized species, of whom 37 are invasive). The collection is being currently characterized through UPLC-HRMS, and the species with the most interesting phytochemical profiles are entering a downstream bioactivity screening program focused on non-communicable diseases (e.g., neurodegenerative diseases, cancer, metabolic syndrome, etc.) and crop enhancement and protection. This screening aims to identify specific phytochemicals that can be exploited to produce drugs, nutraceuticals, cosmetics, and products for more sustainable agricultural practices

Benefits and Risks of Primary Treatments for High-risk Localized and Locally Advanced Prostate Cancer : An International Multidisciplinary Systematic Review

Copyright © 2020 European Association of Urology. Published by Elsevier B.V. All rights reserved.Peer reviewedPostprin

Systematic Review of Active Surveillance for Clinically Localised Prostate Cancer to Develop Recommendations Regarding Inclusion of Intermediate-risk Disease, Biopsy Characteristics at Inclusion and Monitoring, and Surveillance Repeat Biopsy Strategy

none38siContext: There is uncertainty regarding the most appropriate criteria for recruitment, monitoring, and reclassification in active surveillance (AS) protocols for localised prostate cancer (PCa). Objective: To perform a qualitative systematic review (SR) to issue recommendations regarding inclusion of intermediate-risk disease, biopsy characteristics at inclusion and monitoring, and repeat biopsy strategy. Evidence acquisition: A protocol-driven, Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA)-adhering SR incorporating AS protocols published from January 1990 to October 2020 was performed. The main outcomes were criteria for inclusion of intermediate-risk disease, monitoring, reclassification, and repeat biopsy strategies (per protocol and/or triggered). Clinical effectiveness data were not assessed. Evidence synthesis: Of the 17 011 articles identified, 333 studies incorporating 375 AS protocols, recruiting 264 852 patients, were included. Only a minority of protocols included the use of magnetic resonance imaging (MRI) for recruitment (n = 17), follow-up (n = 47), and reclassification (n = 26). More than 50% of protocols included patients with intermediate or high-risk disease, whilst 44.1% of protocols excluded low-risk patients with more than three positive cores, and 39% of protocols excluded patients with core involvement (CI) >50% per core. Of the protocols, ≥80% mandated a confirmatory transrectal ultrasound biopsy; 72% (n = 189) of protocols mandated per-protocol repeat biopsies, with 20% performing this annually and 25% every 2 yr. Only 27 protocols (10.3%) mandated triggered biopsies, with 74% of these protocols defining progression or changes on MRI as triggers for repeat biopsy. Conclusions: For AS protocols in which the use of MRI is not mandatory or absent, we recommend the following: (1) AS can be considered in patients with low-volume International Society of Urological Pathology (ISUP) grade 2 (three or fewer positive cores and cancer involvement ≤50% CI per core) or another single element of intermediate-risk disease, and patients with ISUP 3 should be excluded; (2) per-protocol confirmatory prostate biopsies should be performed within 2 yr, and per-protocol surveillance repeat biopsies should be performed at least once every 3 yr for the first 10 yr; and (3) for patients with low-volume, low-risk disease at recruitment, if repeat systematic biopsies reveal more than three positive cores or maximum CI >50% per core, they should be monitored closely for evidence of adverse features (eg, upgrading); patients with ISUP 2 disease with increased core positivity and/or CI to similar thresholds should be reclassified. Patient summary: We examined the literature to issue new recommendations on active surveillance (AS) for managing localised prostate cancer. The recommendations include setting criteria for including men with more aggressive disease (intermediate-risk disease), setting thresholds for close monitoring of men with low-risk but more extensive disease, and determining when to perform repeat biopsies (within 2 yr and 3 yearly thereafter).noneWillemse, Peter-Paul M; Davis, Niall F; Grivas, Nikolaos; Zattoni, Fabio; Lardas, Michael; Briers, Erik; Cumberbatch, Marcus G; De Santis, Maria; Dell'Oglio, Paolo; Donaldson, James F; Fossati, Nicola; Gandaglia, Giorgio; Gillessen, Silke; Grummet, Jeremy P; Henry, Ann M; Liew, Matthew; MacLennan, Steven; Mason, Malcolm D; Moris, Lisa; Plass, Karin; O'Hanlon, Shane; Omar, Muhammad Imran; Oprea-Lager, Daniela E; Pang, Karl H; Paterson, Catherine C; Ploussard, Guillaume; Rouvière, Olivier; Schoots, Ivo G; Tilki, Derya; van den Bergh, Roderick C N; Van den Broeck, Thomas; van der Kwast, Theodorus H; van der Poel, Henk G; Wiegel, Thomas; Yuan, Cathy Yuhong; Cornford, Philip; Mottet, Nicolas; Lam, Thomas B LWillemse, Peter-Paul M; Davis, Niall F; Grivas, Nikolaos; Zattoni, Fabio; Lardas, Michael; Briers, Erik; Cumberbatch, Marcus G; De Santis, Maria; Dell'Oglio, Paolo; Donaldson, James F; Fossati, Nicola; Gandaglia, Giorgio; Gillessen, Silke; Grummet, Jeremy P; Henry, Ann M; Liew, Matthew; Maclennan, Steven; Mason, Malcolm D; Moris, Lisa; Plass, Karin; O'Hanlon, Shane; Omar, Muhammad Imran; Oprea-Lager, Daniela E; Pang, Karl H; Paterson, Catherine C; Ploussard, Guillaume; Rouvière, Olivier; Schoots, Ivo G; Tilki, Derya; van den Bergh, Roderick C N; Van den Broeck, Thomas; van der Kwast, Theodorus H; van der Poel, Henk G; Wiegel, Thomas; Yuan, Cathy Yuhong; Cornford, Philip; Mottet, Nicolas; Lam, Thomas B