An atypical case of trigeminal trophic syndrome: a legal medicine perspective in medical responsibility

BACKGROUND: Trigeminal trophic syndrome is a rare complication of peripheral or central damage to the trigeminal nerve characterized by anesthesia, paresthesia and a secondary persistent facial ulceration. METHODS: We describe the case of a 40-year-old woman with previous history of Le Fort I osteotomy for a class III malocclusion who developed trigeminal trophic syndrome. Atypically, the cutaneous symptoms appeared bilaterally and 8 years after surgery. RESULTS: Differential diagnosis was based on clinical history, tissue biopsy and serologic evaluation. Atypical findings could be linked to the surgical burdens of Le Fort I osteotomy, a procedure characterized by a bilateral incision on the maxillofacial bones with a reasonable probability of causing a bilateral injury of the peripheral branches of the trigeminal nerve. CONCLUSION: Although the long delay between trigeminal trophic syndrome onset and surgery and the absence of adequate medical evidence cannot confirm a link with previous surgery in this case, the increasing number of maxillofacial surgery cases suggests that this complication may be more frequent in the next decades, and thus, involved specialists should be aware of this condition as a possible complication of maxillofacial surgery procedures

Accidental matter at the LHC

We classify weak-scale extensions of the Standard Model which automatically preserve its accidental and approximate symmetry structure at the renormalizable level and which are hence invisible to low-energy indirect probes. By requiring the consistency of the effective field theory up to scales of 10^15 GeV and after applying cosmological constraints, we arrive at a finite set of possibilities that we analyze in detail. One of the most striking signatures of this framework is the presence of new charged and/or colored states which can be efficiently produced in high-energy particle colliders and which are stable on the scale of detectors.Comment: 55 pages, 13 figure

Study on fouling behaviour of ultrafiltration and nanofiltration during purification of different organic matter polluted wastewaters

The boundary flux concept is a profitable tool to analyse fouling issues in membrane processes. The boundary flux value separates an operating region characterized by reversible fouling formation from irreversible one. Boundary flux values are not constant, but function of time, as calculated by the sub-boundary fouling rate value. The knowledge of both parameters may fully describe the membrane performances in sub-boundary operating regimes. Many times, for wastewater purification purposes, ultrafiltration and nanofiltration membranes are employed to treat different wastewater streams. This appears to be feasible from both technical and economical point of view many times. Whereas initial productivity and selectivity to reach the desired purification targets are generally guaranteed, key to reach process feasibility is that the membrane must resist to fouling issues, with a limited reduction of the performances as a function of time. In other words, longevity of the membranes must be that high to minimise their substitution and, consequently, operating (consumable) costs for the replacement. In this work, after a brief introduction to the boundary flux concept, for many different wastewater, the boundary flux and sub-boundary fouling rate values of different microfiltration and ultrafiltration membranes will be discussed and compared. By this approach, it will be possible to separate those systems where the use membranes for their treatment results successfully from those that represent a challenge (from a technical and/or economic point of view). This will depend sensibly of the feedstock characteristics and, in detail, on the particle size of the suspended matter and guidelines for process designers will be discussed. In most cases, it will be shown that membranes appear to perform very well, making this technology very interesting for many case studies

Oii-web: An interactive online programming contest training system

In this paper we report our experience, related to the online training for the Italian and International Olympiads in Informatics. We developed an interactive online system, based on CMS, the grading system used in several major programming contests including the International Olympiads in Informatics (IOI), and used it in three distinct context: training students for the Italian Olympiads in Informatics (OII), training teachers in order to be able to assist students for the OII, and training the Italian team for the IOI. The system, that is freely available, proved to be a game changer for the whole italian olympiads in informatics ecosystem: in one year, we almost doubled the participation to OII, from 13k to 21k secondary school students. The system is developed basing on the Contest Management System (CMS, http://cms- dev.github.io/), so it is highly available to extensions supporting, for instance, the pro- duction of feedback on problems solutions submitted by trainees. The system is also freely available, with the idea of allowing for support to alternative necessities and developmen

Comparison between three glass fiber post cementation techniques

The aim of this experimental study was to compare the traditional cement systems with those of the latest generation, to assess if indeed these could represent of viable substitutes in the cementation of indirect restorations, and in the specific case of endodontic posts

Custom Dual Transportation Mode Detection by Smartphone Devices Exploiting Sensor Diversity

Making applications aware of the mobility experienced by the user can open the door to a wide range of novel services in different use-cases, from smart parking to vehicular traffic monitoring. In the literature, there are many different studies demonstrating the theoretical possibility of performing Transportation Mode Detection (TMD) by mining smart-phones embedded sensors data. However, very few of them provide details on the benchmarking process and on how to implement the detection process in practice. In this study, we provide guidelines and fundamental results that can be useful for both researcher and practitioners aiming at implementing a working TMD system. These guidelines consist of three main contributions. First, we detail the construction of a training dataset, gathered by heterogeneous users and including five different transportation modes; the dataset is made available to the research community as reference benchmark. Second, we provide an in-depth analysis of the sensor-relevance for the case of Dual TDM, which is required by most of mobility-aware applications. Third, we investigate the possibility to perform TMD of unknown users/instances not present in the training set and we compare with state-of-the-art Android APIs for activity recognition.Comment: Pre-print of the accepted version for the 14th Workshop on Context and Activity Modeling and Recognition (IEEE COMOREA 2018), Athens, Greece, March 19-23, 201

Magnetic core nanoparticles coated by titania and alumina for water and wastewater remediation from metal contaminants

Nanomaterials have been widely used for remediation of contaminated streams. However, using nanomaterials within water and wastewater might be dangerous since fate and health impact of nanoparticles is still unknown. Therefore, it is mandatory to avoid contamination by removing all the nanoparticles from the treated stream. This can be performed by immobilizing the nanoparticles on supports, although this approach leads to lower efficiency values. Another possibility is to use suspended nanoparticles: in this case, efficiency of the treatment process is enhanced. If nanomaterials have a magnetic core-shell, then suspended nanoparticles can be removed in a safe and easy was by using magnetic traps. In the present study, new nanomaterials based on magnetic core-shell structure were developed: the magnetic core guarantees a complete removal from the treated water and wastewater streams, whereas the shell (coating) is functionalized to eliminate specific classes of pollutants. A first experimental step allowed to produce the magnetic nanoparticles and perform a coating with SiO2 in order to electrically isolate the core from the ambient and to avoid degradation. This procedure is well established and the production of SiO2 coated magnetic nanoparticles are nowadays a validated procedure by using a spinning disk reactor.In a successive step, the silica shell magnetic cores were coated by titania and/or activated alumina particles with the aim of removing metals by adsorption. In the present study, the arsenic adsorption capacity of silica shell magnetic cores nanoparticles coated by titania and/or activated was investigated through kinetic experiments. All the tested adsorbents performed very well showing very rapid rates of the adsorption process. Among them, the best performing media were found to be those with titania coating. The best fitting kinetic model was found to be the pseudo-second order one for all of the adsorbents

The boundary flux. New perspectives for membrane process design

In the last decades much effort was put in understanding fouling phenomena on membranes. Many new concepts have been introduced in time, and parallel to this many parameters capable to quantify fouling issues and fouling evolution. One successful approach was the introduction of the critical flux theory. At first validated for microfiltration, the theory applied to ultrafiltration and nanofiltration, too. The possibility to measure a maximum value of the permeate flux for a given system without incurring in fouling issues was a breakthrough in membrane process design. Nevertheless, the application to the concept remains very limited: in many cases, in particular on systems where fouling is a main issue, critical fluxes were found to be very low, lower than economical feasibility permits to make membrane technology advantageous. Despite these arguments, the knowledge of the critical flux value still remains and must be considered as a good starting point for process design concerning productivity and longevity. In 2011, a new concept was introduced, that is the threshold flux. In this case, the concept evaluates the maximum permeate flow rate characterized by a low constant rate fouling regime, due to formation of a secondary, selective layer of foulant on the membrane surface. This concept, more than the critical flux, may be a new practical tool for membrane process designers. In this paper a brief review on critical and threshold flux will be reported and analyzed. In fact, critical and threshold flux concepts share many common aspects which merge perfectly into a new concept that is the boundary flux. The validation will occur mainly by the analysis of previous collected data by the authors, during the treatment of olive mill wastewater. A novel membrane process design method based on the boundary flux will then be presented