Leave-one-out prediction error of systolic arterial pressure time series under paced breathing

In this paper we show that different physiological states and pathological conditions may be characterized in terms of predictability of time series signals from the underlying biological system. In particular we consider systolic arterial pressure time series from healthy subjects and Chronic Heart Failure patients, undergoing paced respiration. We model time series by the regularized least squares approach and quantify predictability by the leave-one-out error. We find that the entrainment mechanism connected to paced breath, that renders the arterial blood pressure signal more regular, thus more predictable, is less effective in patients, and this effect correlates with the seriousness of the heart failure. The leave-one-out error separates controls from patients and, when all orders of nonlinearity are taken into account, alive patients from patients for which cardiac death occurred

Romanesque and territory. The construction materials of Sardinian medieval churches: new approaches to the valorization, conservation and restoration

This paper is intended to illustrate a multidisciplinary research project devoted to the study of the constructive materials of the Romanesque churches in Sardinia during the “Giudicati” period (11th -13th centuries). The project focuses on the relationship between a selection of monuments and their territory, both from a historical-architectural perspective and from a more modern perspective addressing future restoration works. The methodologies of the traditional art-historical research (study of bibliographic, epigraphic and archival sources, formal reading of artifacts) are flanked by new technologies: digital surveys executed with a 3D laser-scanner, analyses of the materials (stones, mortars, bricks) with different instrumental methods: X-ray fluorescence (XRF) and inductively coupled mass spectrometry (ICP-MS) for chemical composition, X-ray diffractometer (XRD) to determine the alteration phases (e.g., soluble salts), optical microscopy and electronic (SEM) to study textures, mineral assemblages and microstructures, termogravimetric/differential scanning, calorimetric analysis (TG/DTA) for the composition of the binder mortars. This multidisciplinary approach allows the achieving of important results in an archaeometric context: 1) from a historical point of view, with the possible identification of ancient traffics, trade routes, sources of raw materials, construction phases, wall textures; 2) from a conservative point of view, by studying chemical and physical weathering processes of stone materials compatible for replacement in case of future restoration works. Sardinian Romanesque architectural heritage is particularly remarkable: about 200 churches of different types and sizes, with the almost exclusive use of cut stones. Bi- or poly-chromy, deriving from the use of different building materials, characterizes many of these monuments, becoming also a vehicle for political and cultural meanings. The paper will present some case studies aimed to illustrate the progress of the project and the results achieved

Quantitative strain analysis of the large deformation at the scale of microstructure: comparison between Digital Image Correlation and Microgrid techniques

A comparative study has been carried out to assess the accuracy of the Digital Image Correlation (DIC) technique for the quantification of large strains in the microstructure of an Interstitial Free (IF) steel used in automotive applications. A microgrid technique has been used in this study in order to validate independently the strain measurements obtained with DIC. Microgrids with a pitch of 5 microns were printed on the etched microstructure of the IF steel to measure the local in-plane strain distribution during a tensile test carried out in a Scanning Electron Microscope (SEM). The progressive deformation of the microstructure with microgrids has been recorded throughout the test as a sequence of micrographs and subsequently processed using DIC to quantify the distribution of local strain values. Strain maps obtained with the two techniques have been compared in order to assess the accuracy of the DIC measurements obtained using the natural patterns of the revealed microstructure in the SEM micrographs. The results obtained with the two techniques are qualitatively similar and thus, demonstrate the reliability of DIC applied to microstructures, even after large deformations in excess of 0.7. However, an average error of about 16 % was found in the strain values calculated using DIC

Hepatic resection and transplantation for peripheral cholangiocarcinoma

Background: Recent publications have questioned the role of orthotopic liver transplantation (OLT) in treating advanced or unresectable peripheral cholangiocarcinoma (Ch-Ca). Study Design: We reviewed our experience with Ch- Ca to determine survival rates, recurrence patterns, and risk factors in 54 patients who underwent either hepatic resection or OLT between 1981 and 1994. Liver transplantation was performed in patients with unresectable tumors (n = 12) and in those with advanced cirrhosis (n = 8). There were 33 women (61%) and 21 men (39%), with a mean age of 54.3 years. The median followup period was 6.8 years. Prognostic risk factors were analyzed by univariate and multivariate analyses. Results: Mortality within 30 days was 7.4%. Overall patient and tumor-free survival rates were 64% and 57% at 1 year, 34% and 34% at 3 years, and 26% and 27% at 5 years after operation. Thirty-two patients (59.3%) experienced tumor recurrence. Univariate analysis revealed that multiple tumors, bilobar tumor distribution, regional lymph node involvement, presence of metastasis, positive surgical margins, and advanced pTNM stages were significant negative predictors of both tumor-free and patient survival. Multivariate analysis revealed that positive margins, multiple tumors, and lymph node involvement were independently associated with poor prognosis. When patients with these three negative predictors were excluded, the patient survivals at 1, 3, and 5 years were 74%, 64%, and 62%, respectively. Conclusions: Both hepatic resection and OLT are effective therapies for Ch- Ca when the tumor can be removed with adequate margins, the lesion is singular, and lymph nodes are not involved

Effects of intertrochanteric varus osteotomy on norberg angle and percent coverage of the femoral head in displastic dogs

This study was conducted to assess the effects of femoral varus osteotomy on joint congruency in dogs affected by early stage hip dysplasia. Preoperative planning to move the femoral head within the acetabulum was carried out. Varisation of the femoral inclination angle (fIA) was achieved by Intertrochanteric Osteotomy (ITO). Norberg angle (NA), percent coverage (PC) of the femoral head by the acetabulum and fIA was measured from preoperative, immediate postoperative and first and second recheck radiographs of seven dogs that underwent an ITO (joint n = 9). There was significant (p < 0.05) improvement of both NA and PC in all patients as indicated by a change in the mean \ub1 standard deviation of 78.9\ub0 \ub1 7.5 and 36.9% \ub1 5.2 to 92.2\ub0 \ub1 6.7 and 50.6% \ub1 8.3, respectively. No significant difference (p < 0.05) was observed between the values of the planned femoral inclination angle (pfIA) of the femur and the effective femoral inclination angle (efIA) obtained after surgery (115.9\ub0 \ub1 2.5 and 111.3\ub0 \ub1 6.4, respectively). These findings could encourage the use of ITO in veterinary practice and indicate that intertrochanteric varus osteotomy should be re-considered for the treatment of early stage hip dysplasia in dogs with radiological signs of joint incongruenc

Strain Evolution Measurement at the Microscale of a Dual Phase Steel Using Digital Image Correlation

Digital Image Correlation (DIC) together with in-situ tensile testing has been used to measure in DP1000 steel the evolution of plastic strains at the microstructure scale. Interrupted tensile tests were performed on specially designed samples and scanning-electron micrographs were taken at regular applied strain intervals. Patterns defined by the microstructural features of the material have been used for the correlation carried out using LAVision software. The full field strain maps produced by DIC show a progressive localisation of deformation into bands at about 45o with respect to the loading direction. Plastic strains as high as 130% have been measured within the ferrite phase

Preparation, performances and reaction mechanism for the synthesis of H2O2 from H2 and O2 based on palladium membranes

Taking a critically informed approach, this innovative text examines emerging approaches to social procurement within the context of New Public Government (NPG), and examines the practices of social procurement across Europe, North America and Australia. Considering both the possibilities and limitations of social procurement, and the types of value it can generate, this book also provides empirically driven insights into the practicalities of 'triple bottom line' procurement, the related challenges of measuring social value and the management of both the strategic and operational dimensions of procurement processes. As such it will be invaluable reading for all those interest in social services, public governance and social enterprise