20 research outputs found
Design and analysis of cross vaults along history
The history of cross vaults began almost 2,000 years ago with a widespread use during the Middle Ages and Renaissance, becoming nowadays one of the most diffused and fascinating structural typologies of the European building cultural heritage. However, conversely to the undeniable excellence achieved by the ancient masons, the structural behavior of these elements is still at the center of the scientific debate. In this regard, with the aim of reviewing the knowledge on this subject as a concise and valuable support for researchers involved in conservation of historical buildings, with a focus on design rules and structural analysis, the present study firstly introduces the cross vaults from a historical perspective, by describing the evolution of the main geometrical shapes together with basic practical rules used to size them. Then, the article deals with the subsequent advancements in structural analysis methods of vaults, until the development of modern limit analysis.This work was partially carried out under the program "Dipartimento di Protezione Civile - Consorzio RELUIS", signed on 2013-12-27.info:eu-repo/semantics/publishedVersio
Simulation of the Dynamics of Nonplayer Characters' Emotions and Social Relations in Games
International audienc
Dans quelle mesure les simulations informatiques de lâactivitĂ© humaine sont-elles rĂ©alistes ?
Cet article sâintĂ©resse Ă la notion de rĂ©alisme des simulations informatiques de lâactivitĂ© humaine. Nous proposons une liste de propriĂ©tĂ©s de lâactivitĂ© humaine basĂ©e sur lâergonomie comme base pour qualifier le rĂ©alisme de ces simulations. Nous proposons une critique des approches informatiques de simulation de lâactivitĂ© humaine Ă partir de ces propriĂ©tĂ©s. Nous proposons dâĂ©tudier ces propriĂ©tĂ©s sous le prisme des donnĂ©es afin dâidentifier celles qui contribuent au rĂ©alisme de la simulation de lâactivitĂ© humaine. Enfin, nous proposons un dĂ©but dâapproche hybride prenant en compte des facteurs impactant lâactivitĂ© humaine, permettant de dĂ©passer les limites des autres approches de lâĂ©tat de lâart
Dans quelle mesure les simulations informatiques de lâactivitĂ© humaine sont-elles rĂ©alistes ?
Cet article sâintĂ©resse Ă la notion de rĂ©alisme des simulations informatiques de lâactivitĂ© humaine. Nous proposons une liste de propriĂ©tĂ©s de lâactivitĂ© humaine basĂ©e sur lâergonomie comme base pour qualifier le rĂ©alisme de ces simulations. Nous proposons une critique des approches informatiques de simulation de lâactivitĂ© humaine Ă partir de ces propriĂ©tĂ©s. Nous proposons dâĂ©tudier ces propriĂ©tĂ©s sous le prisme des donnĂ©es afin dâidentifier celles qui contribuent au rĂ©alisme de la simulation de lâactivitĂ© humaine. Enfin, nous proposons un dĂ©but dâapproche hybride prenant en compte des facteurs impactant lâactivitĂ© humaine, permettant de dĂ©passer les limites des autres approches de lâĂ©tat de lâart
VICTEAMS: a virtual environment to train medical team leaders to interact with virtual subordinates
International audienceHealth care delivery in military conflict, in peacekeeping missionsor in the aftermath of disaster, implies high stress environmentswith danger exposures, life-threatening events and high levels ofwork demand. Crisis and emergency risk communication remainsa real challenge. The rapid response of emergency medical teamshas an important role to play in preventing serious adverse events.During critical events, medical errors can be related to human or systemfactors, including ineffective team leadership, non-standardizedteam communication, a lack of global situation awareness, pooruse of resources and inappropriate triage and prioritization. TheVICTEAMS project aims at building a virtual environment for trainingrescue team leaders to non-technical skills. Depending on theleader abilities, the virtual characters playing the subordinates (e.g.nurses) reproduce a variety of behaviors like erroneous actions,followership attitudes or stress-based behaviors. A pedagogical directortailors the difficulty according to the dynamic profile of thelearner
Extended, standard or De-escalation antiplatelet therapy for patients with CAD undergoing PCI? A trial-sequential, bivariate, influential and network meta-analysis
BACKGROUND: The relative safety and efficacy of de-escalation, extended duration (ED) (\u3e12-months) and standard dual antiplatelet therapy for 12-months (DAPT-12) in patients with coronary artery disease (CAD) undergoing percutaneous coronary intervention (PCI) remains controversial. METHODS: Online databases were queried to identify relevant randomized control trials (RCTs). ED-DAPT, high-potency (HP) DAPT, shorter duration (SD) DAPT and low-dose (LD) DAPT were compared with DAPT-12. A trial sequential, bivariate, influential and frequentist network meta-analysis (NMA) was performed to determine the pooled estimates. RESULTS: A total of 30 RCTs comprising 81 208 (40 839 experimental, 40 369 control arm) patients with CAD were included in the quantitative analysis. On NMA, compared with DAPT-12, all types of de-escalation, HP-DAPT-12 and ED-DAPT strategies had a statistically non-significant difference in the incidence of MACE at a median follow-up of 1-year. Similarly, there was no significant difference in the incidence of stroke, stent thrombosis, target lesion revascularization (TLR), target vessel revascularization (TVR) and all-cause mortality between DAPT-12 and all other strategies. The network estimates showed a significantly lower incidence of major bleeding with DAPT for 3-months followed by P2Y12-inhibitor monotherapy (RR 0.62, 95% CI 0.45-0.84), while a higher risk of bleeding with HP-DAPT for 12 months (RR 1.55, 95% CI 1.16-2.06). The net clinical benefit and rankograms also favored DAPT-3 (P2Y12) and discouraged the use of HP-DAPT-12 and ED-DAPT. A subgroup analysis of 19 RCTs restricted to patients who presented with acute coronary syndrome (ACS) mirrored the findings of pooled analysis. A sensitivity analysis revealed no influence of any individual study or individual strategy on net ischemic estimates. The trial sequential analysis (TSA) illustrated a consistently non-significant difference at the interim analysis of trials, reaching the futility area for MACE, while the cumulative Z-values line surpassed the monitoring boundary as well as the required information size for major bleeding favoring de-escalation strategy. CONCLUSION: DAPT for 3 months followed by ticagrelor-only and use of aspirin + clopidogrel after a short period of high potency DAPT appears to be a safe strategy for treating post-PCI patients. However, given the methodological limitations and inclusion of a small number of trials in novel de-escalation strategies, these findings need validation by future large scale RCTs