On the reliability of electrical drives for safety-critical applications

The aim of this work is to present some issues related to fault tolerant electric drives,which are able to overcome different types of faults occurring in the sensors, in thepower converter and in the electrical machine, without compromising the overallfunctionality of the system. These features are of utmost importance in safety-criticalapplications. In this paper, the reliability of both commercial and innovative driveconfigurations, which use redundant hardware and suitable control algorithms, will beinvestigated for the most common types of fault: besides standard three phase motordrives, also multiphase topologies, open-end winding solutions, multi-machineconfigurations will be analyzed, applied to various electric motor technologies. Thecomplexity of hardware and control strategies will also be compared in this paper, sincethis has a tremendous impact on the investment costs

Team dynamics in emergency surgery teams: results from a first international survey

Background: Emergency surgery represents a unique context. Trauma teams are often multidisciplinary and need to operate under extreme stress and time constraints, sometimes with no awareness of the trauma\u2019s causes or the patient\u2019s personal and clinical information. In this perspective, the dynamics of how trauma teams function is fundamental to ensuring the best performance and outcomes. Methods: An online survey was conducted among the World Society of Emergency Surgery members in early 2021. 402 fully filled questionnaires on the topics of knowledge translation dynamics and tools, non-technical skills, and difficulties in teamwork were collected. Data were analyzed using the software R, and reported following the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). Results: Findings highlight how several surgeons are still unsure about the meaning and potential of knowledge translation and its mechanisms. Tools like training, clinical guidelines, and non-technical skills are recognized and used in clinical practice. Others, like patients\u2019 and stakeholders\u2019 engagement, are hardly implemented, despite their increasing importance in the modern healthcare scenario. Several difficulties in working as a team are described, including the lack of time, communication, training, trust, and ego. Discussion: Scientific societies should take the lead in offering training and support about the abovementioned topics. Dedicated educational initiatives, practical cases and experiences, workshops and symposia may allow mitigating the difficulties highlighted by the survey\u2019s participants, boosting the performance of emergency teams. Additional investigation of the survey results and its characteristics may lead to more further specific suggestions and potential solutions

Diversity and ethics in trauma and acute care surgery teams: results from an international survey

Background: Investigating the context of trauma and acute care surgery, the article aims at understanding the factors that can enhance some ethical aspects, namely the importance of patient consent, the perceptiveness of the ethical role of the trauma leader, and the perceived importance of ethics as an educational subject. Methods: The article employs an international questionnaire promoted by the World Society of Emergency Surgery. Results: Through the analysis of 402 fully filled questionnaires by surgeons from 72 different countries, the three main ethical topics are investigated through the lens of gender, membership of an academic or non-academic institution, an official trauma team, and a diverse group. In general terms, results highlight greater attention paid by surgeons belonging to academic institutions, official trauma teams, and diverse groups. Conclusions: Our results underline that some organizational factors (e.g., the fact that the team belongs to a university context or is more diverse) might lead to the development of a higher sensibility on ethical matters. Embracing cultural diversity forces trauma teams to deal with different mindsets. Organizations should, therefore, consider those elements in defining their organizational procedures. Level of evidence: Trauma and acute care teams work under tremendous pressure and complex circumstances, with their members needing to make ethical decisions quickly. The international survey allowed to shed light on how team assembly decisions might represent an opportunity to coordinate team member actions and increase performance

Goodbye Hartmann trial: a prospective, international, multicenter, observational study on the current use of a surgical procedure developed a century ago

Background: Literature suggests colonic resection and primary anastomosis (RPA) instead of Hartmann's procedure (HP) for the treatment of left-sided colonic emergencies. We aim to evaluate the surgical options globally used to treat patients with acute left-sided colonic emergencies and the factors that leading to the choice of treatment, comparing HP and RPA. Methods: This is a prospective, international, multicenter, observational study registered on ClinicalTrials.gov. A total 1215 patients with left-sided colonic emergencies who required surgery were included from 204 centers during the period of March 1, 2020, to May 31, 2020. with a 1-year follow-up. Results: 564 patients (43.1%) were females. The mean age was 65.9 ± 15.6 years. HP was performed in 697 (57.3%) patients and RPA in 384 (31.6%) cases. Complicated acute diverticulitis was the most common cause of left-sided colonic emergencies (40.2%), followed by colorectal malignancy (36.6%). Severe complications (Clavien-Dindo ≥ 3b) were higher in the HP group (P < 0.001). 30-day mortality was higher in HP patients (13.7%), especially in case of bowel perforation and diffused peritonitis. 1-year follow-up showed no differences on ostomy reversal rate between HP and RPA. (P = 0.127). A backward likelihood logistic regression model showed that RPA was preferred in younger patients, having low ASA score (≤ 3), in case of large bowel obstruction, absence of colonic ischemia, longer time from admission to surgery, operating early at the day working hours, by a surgeon who performed more than 50 colorectal resections. Conclusions: After 100 years since the first Hartmann's procedure, HP remains the most common treatment for left-sided colorectal emergencies. Treatment's choice depends on patient characteristics, the time of surgery and the experience of the surgeon. RPA should be considered as the gold standard for surgery, with HP being an exception

Generator topologies for horizontal axis tidal turbine

Over the last decade, research on technologies to exploit tidal current kinetic energy for renewable electricity generation has had a significant growth. However, as to date, there is not a consensus worldwide on standard Power Take-Off (PTO) systems, due to the current immaturity of tidal energy converter technologies. In most cases, mechanical/electrical power conversion follows well-proven technologies derived by the mature wind-energy sector. However, the peculiarities of tidal energy resource impose ad hoc technology solutions. In this paper, different generator topologies and recent developments for marine tidal energy systems are reviewed and compared. The aim is to provide an overall perspective and identify areas for further development. Among considered technologies, the direct-drive permanent magnet synchronous generator by the full-rated frequency converter (FFC) represents an appealing solution, for reduced system complexity and maintenance requirements and possibility to develop smart Maximum Power Point Tracking (MPPT) strategies

Analysis and comparison of a speed-dependant and a torque-dependant mechanical device for wide constant power speed range in AFPM starter/alternators

In this paper, two methods for flux linkage regulation in a starter/ alternator with an axial-flux permanent magnet (AFPM) machine are proposed and compared. Desired regulation is achieved by two different mechanical solutions, each of them capable of modifying the amount of flux linkage through displacement of the two rotors in the AFPM machine. Constant power generation is thus achieved with very inexpensive devices that do not require external energy sources since energy in the airgap doesn't change. The main difference between the two proposed solutions is that the speed dependant device is ideally a constant voltage source while the torque-dependant device behaves as a constant current source. Even if some improvements are still needed, both devices introduce the totally innovative concept of mechanical flux weakening for AFPM power regulation in a wide speed range. Finally, the paper demonstrates that the introduction of these devices doesn't modify machine behavior in starting mode, so that the particular features of AFPM machines in terms of high toque density and overload capability remain unaffected