Vehicle Driveability: Dynamic Analysis of Powertrain System Components

The term driveability describes the driver's complex subjective perception of the interactions with the vehicle. One of them is associated to longitudinal acceleration aspects. A relevant contribution to the driveability optimization process is, nowadays, realized by means of track tests during which a considerable amount of driveline parameters are tuned in order to obtain a good compromise of longitudinal acceleration response. Unfortunately, this process is carried out at a development stage when a design iteration becomes too expensive. In addition, the actual trend of downsizing and supercharging the engines leads to higher vibrations that are transmitted to the vehicle. A large effort is therefore dedicated to develop, test and implement ignition strategies addressed to minimize the torque irregularities. Such strategies could penalize the engine maximum performance, efficiency and emissions. The introduction of the dual mass flywheel is beneficial to this end. Nevertheless, its role on the vehicle driveability, as well as that of other driveline components, is not yet so clear. The aim of the present work is to establish which are the main driveline components affecting the filtering behavior of the transmission and how their parameters can be tuned in order to improve the vehicle ability to respond to driver’s different demands without negative impact on his comfort. A complete nonlinear coupled torsional and longitudinal vehicle dynamic model is proposed to this end. The model is validated both in time and frequency domain and allows linearization of its nonlinear components

Clinical features and outcomes of elderly hospitalised patients with chronic obstructive pulmonary disease, heart failure or both

Background and objective: Chronic obstructive pulmonary disease (COPD) and heart failure (HF) mutually increase the risk of being present in the same patient, especially if older. Whether or not this coexistence may be associated with a worse prognosis is debated. Therefore, employing data derived from the REPOSI register, we evaluated the clinical features and outcomes in a population of elderly patients admitted to internal medicine wards and having COPD, HF or COPD + HF. Methods: We measured socio-demographic and anthropometric characteristics, severity and prevalence of comorbidities, clinical and laboratory features during hospitalization, mood disorders, functional independence, drug prescriptions and discharge destination. The primary study outcome was the risk of death. Results: We considered 2,343 elderly hospitalized patients (median age 81 years), of whom 1,154 (49%) had COPD, 813 (35%) HF, and 376 (16%) COPD + HF. Patients with COPD + HF had different characteristics than those with COPD or HF, such as a higher prevalence of previous hospitalizations, comorbidities (especially chronic kidney disease), higher respiratory rate at admission and number of prescribed drugs. Patients with COPD + HF (hazard ratio HR 1.74, 95% confidence intervals CI 1.16-2.61) and patients with dementia (HR 1.75, 95% CI 1.06-2.90) had a higher risk of death at one year. The Kaplan-Meier curves showed a higher mortality risk in the group of patients with COPD + HF for all causes (p = 0.010), respiratory causes (p = 0.006), cardiovascular causes (p = 0.046) and respiratory plus cardiovascular causes (p = 0.009). Conclusion: In this real-life cohort of hospitalized elderly patients, the coexistence of COPD and HF significantly worsened prognosis at one year. This finding may help to better define the care needs of this population

A study on the role of powertrain system dynamics on vehicle driveability

Vehicle driveability describes the complex interactions between the driver and the vehicle, mainly related to longitudinal vibrations. Today, a relevant part of the driveability process optimisation is realised by means of track tests, which require a considerable effort due to the number of parameters (such as stiffness and damping components) affecting this behaviour. The drawback of this approach is that it is carried on at a stage when a design iteration becomes very expensive in terms of time and cost. The objective of this work is to propose a light and accurate tool to represent the relevant quantities involved in the driveability analysis, and to understand which are the main vehicle parameters that influence the torsional vibrations transmitted to the driver. Particular attention is devoted to the role of the tyre, the engine mount, the dual mass flywheel and their possible interactions. The presented nonlinear dynamic model has been validated in time and frequency domain and, through linearisation of its nonlinear components, allows to exploit modal and energy analysis. Objective indexes regarding the driving comfort are additionally considered in order to evaluate possible driveability improvements related to the sensitivity of powertrain parameters

Università degli Studi di Genova DISEFIN -Series of Economic Working Papers 16126 Genova -via vivaldi 5 -Fax +39 010 209 5223 A self-reported work sampling to assess the Emergency Department's costs A self-reported work sampling to assess the Emergency De

Abstract Emergency Department (ED) activity involves a consistent absorption of resources varying from medical staff to laundry services. Moving from the consideration that staff cost is the most relevant item among those reported in the ED balance sheet, we have conducted a statistical survey in one of the most relevant Italian ED with the goal of providing an accurate estimation of the cost incurred by ED according to the patient severity type (measured by the triage coding).The main contribution of the present paper consists in suggesting a new methodological approach to the ED cost analysis. Personnel and other costs are jointly considered in order to define, by the use of two different cost modeling scenarios, a per patient standard cost which takes into account the patient type and outcome