56 research outputs found

    Robocar and Urban Space Evolution:

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    How can we create more human-centered, resilient, and sustainable cities in the tech age? Can we make use of technology and the opportunities presented rather than resisting its fast-paced evolution? What are the biggest and most likely spatial changes that autonomous vehicles will bring in cities? How can this change in mobility contribute to a better urban environment? To what extent do the spatial opportunities created by automated mobility respond to current urban issues and what is the role of urban design and spatial planning in this debate? Autonomous cars—Robocars—will dramatically change urban environments and the practice of urbanism, potentially making cities less dependent on and less dominated by cars. Driverless and mainly guided by digital infrastructure, Robocars can open up new opportunities for urban development. If guided by sustainable development goals, the automation of mobility can lead to urban evolution—a shared paradigm shift in mobility and urban design. However, if Robocars are introduced as profit-driven products rather than tools to improve cities, they can cause sprawl, undermine public transport and reduce active mobility, ultimately affecting people’s health and wellbeing. Consequently, it is necessary to explore how the Robocars’ technological capabilities can provide solutions to pressing urban issues, such as growth, climate change, environmental quality, social inequality and the energy transition. On September 13, 2018, the Section of Urban Design at the Faculty of Architecture and the Built Environment, TU Delft, organised a public debate with international and Dutch experts to discuss the spatial changes that autonomous cars may bring about in cities. Subsequently, this publication gathers illustrated contributions by the key speakers at the symposium, which present ideas and further reflection points on Robocars’ relation to the urban environment. The three thematic sessions of the symposium were video recorded and are available online at robocarevolution.com. The symposium and the publication aim to raise awareness about the importance of the topic for the field of urban design and other disciplines dealing with various aspects of urban sustainability. To date, the topic of autonomous cars has mainly been addressed by car industries, technology companies and transportation planning groups. The current discourse is predominantly driven by business and marketing goals, potentially leading to cities shaped around technology. In this context, the symposium and the publication are a step forward to engaging various experts in a debate around Robocars and urban design. They propose a complementary approach to the current tech discourse on automated mobility by emphasising the importance of an urban design and spatial planning perspective, thus exploring Robocars as a spatial project. Automated vehicles can bring a mobility revolution: traffic systems and infrastructure can be reinvented, public and private transport modes can blend, and the logic of mobility in cities can be reformed, as time spent in the car will no longer be lost. Such changes create spatial opportunities and can help cities respond better to sustainable development goals; for instance, the space made available if Robocars could park themselves can be redesigned and, instead of parked cars, streets can accommodate more green space and larger sidewalks, revaluing streets as public spaces. The goal of the Robocar and Urban Space Evolution symposium and publication is to start a more inclusive debate about Robocars and their impact on the urban environment and to explore the potential of this new technology beyond market-oriented goals. The experts involved came from multiple disciplines, including spatial planning, urban design, architecture, ecology, psychology, environmental engineering and transportation planning. They discussed why and how we need to engage with the topic, given that mobility automation will dramatically shape the urban environment in different contexts and societies in the coming decades. The publication includes contributions by Rients Dijkstra and Anca Ioana Ionescu, Dominic Stead, Víctor Muñoz Sanz, David Hamers, Salvador Rueda, Nico Larco, Emilia Bruck and Mathias Mitteregger

    La pilota valenciana: Reptes per al segle XXI

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    Llibre d'actes del congrés "La pilota valenciana: Reptes per al segle XXI" que es va celebrar a València els dies 26,27 i 28 d'octubre del 2017

    Novel utility-scale photovoltaic plant electroluminescence maintenance technique by means of bidirectional power inverter controller

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    Producción CientíficaNowadays, photovoltaic (PV) silicon plants dominate the growth in renewable energies generation. Utility-scale photovoltaic plants (USPVPs) have increased exponentially in size and power in the last decade and, therefore, it is crucial to develop optimum maintenance techniques. One of the most promising maintenance techniques is the study of electroluminescence (EL) images as a complement of infrared thermography (IRT) analysis. However, its high cost has prevented its use regularly up to date. This paper proposes a maintenance methodology to perform on-site EL inspections as efficiently as possible. First, current USPVP characteristics and the requirements to apply EL on them are studied. Next, an increase over the automation level by means of adding automatic elements in the current PV plant design is studied. The new elements and their configuration are explained, and a control strategy for applying this technique on large photovoltaic plants is developed. With the aim of getting on-site EL images on a real plant, a PV inverter has been developed to validate the proposed methodology on a small-scale solar plant. Both the electrical parameters measured during the tests and the images taken have been analysed. Finally, the implementation cost of the solution has been calculated and optimised. The results conclude the technical viability to perform on-site EL inspections on PV plants without the need to measure and analyse the panel defects out of the PV installation.Ministerio de Industria, Economía y Competitividad (grant number RTC-2017-6712-3)Junta de Castilla y León (grant VA283P18

    Validity of a minimally invasive autopsy for cause of death determination in stillborn babies and neonates in Mozambique: an observational study

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    Background Over 5 million stillbirths and neonatal deaths occur annually. Limited and imprecise information on the cause of these deaths hampers progress in achieving global health targets. Complete diagnostic autopsies (CDAs) the gold standard for cause of death determination are difficult to perform in most high-burden settings. Therefore, validation of simpler and more feasible methods is needed. Methods and findings In this observational study, the validity of a minimally invasive autopsy (MIA) method in determining the cause of death was assessed in 18 stillbirths and 41 neonatal deaths by comparing the results of the MIA with those of the CDA. Concordance between the categories of diseases obtained by the 2 methods was assessed by the Kappa statistic, and the sensitivity, specificity, positive, and negative predictive values of the MIA diagnoses were calculated. A cause of death was identified in 16/18 (89%) and 15/18 (83%) stillborn babies in the CDA and the MIA, respectively. Fetal growth restriction accounted for 39%, infectious diseases for 22%, intrapartum hypoxia for 17%, and intrauterine hypoxia for 11% of stillborn babies. Overall, the MIA showed in this group a substantial concordance with the CDA (Kappa = 0.78, 95% CI [0.56-0.99]). A cause of death was identified in all (100%) and 35/41 (85%) neonatal deaths in the CDA and the MIA, respectively. In this group, the majority of deaths were due to infectious diseases (66%). The overall concordance of the MIA with the CDA in neonates was moderate (Kappa = 0.40, 95% CI [0.18-0.63]). A high percentage of accuracy was observed for the MIA in all the diagnostic categories in both stillbirths and neonates (>75%). The main limitation of this study is that some degree of subjective interpretation is inherent to cause-of-death attribution in both the MIA and the CDA; this is especially so in stillbirths and in relation to fetal growth restriction. Conclusions The MIA could be a useful tool for cause-of-death determination in stillbirths and neonatal deaths. These findings may help to accelerate progress towards meeting global health targets by obtaining more accurate information on the causes of death in these age groups, which is essential in guiding the design of new interventions and increasing the effectiveness of those already implemented

    Postmortem Interval and Diagnostic Performance of the Autopsy Methods

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    Postmortem studies, including the complete diagnostic autopsy (CDA) and the minimally invasive autopsy (MIA), an innovative approach to post-mortem sampling and cause of death investigation, are commonly performed within 24 hours after death because the quality of the tissues deteriorates over time. This short timeframe may hamper the feasibility of the procedure. In this study, we compared the diagnostic performance of the two postmortem procedures when carried out earlier and later than 24 hours after death, as well as the impact of increasing postmortem intervals (PMIs) on the results of the microbiological tests in a series of 282 coupled MIA/CDA procedures performed at the Maputo Central Hospital in Mozambique between 2013 and 2015. 214 procedures were conducted within 24 hours of death (early autopsies), and 68 after 24 hours of death (late autopsies). No significant differences were observed in the number of non-conclusive diagnoses (2/214 [1%] vs. 1/68 [1%] p = 0.5645 for the CDA; 27/214 [13%] vs. 5/68 [7%] p = 0.2332 for the MIA). However, increasing PMIs were associated with a raise in the number of bacteria identified (rate: 1.014 per hour [95%CI: 1.002-1.026]; p = 0.0228). This increase was mainly due to rising numbers of bacteria of the Enterobacteriaceae family and Pseudomonas genus strains. Thus, performing MIA or CDA more than 24 hours after death can still render reliable diagnostic results, not only for non-infectious conditions but also for many infectious diseases, although, the contribution of Enterobacteriaceae and Pseudomonas spp. as etiological agents of infections leading to death may be overestimated

    Digital platform and open resources on restorative justice

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    Se explica la elaboración de una plataforma digital sobre justicia restaurativa de la UCM, continuando los Proyectos de Innovación precedentes sobre la misma temática y con el fin de digitalizar el contenido precedente. El proyecto posee en dos dimensiones: de un lado, la formativa, que ha consistido en asegurar la formación teórico-práctica de los alumnos en materia de justicia restaurativa a través de la estrategia Aprendizaje y Servicio y contando con la red de contactos que hemos confeccionado a lo largo de estos años, apostando por la enseñanza virtual y la internacionalización. Por otro lado, se encuentra la dimensión estrictamente innovadora, pues el proyecto implica apostar por innovación de recursos en abierto y enseñanza virtual, confeccionando la plataforma digital sobre el tema que ha vertebrado sobre dos iniciativas: la creación de un MOOC por parte de alumnos y profesores y la puesta en marcha de una Web dentro de la UCM con material disponible y publico sobre esta dimensión tan importante de la justicia, enmarcándola dentro de todos los programas universitarios centrados en la Agenda 2030.The development of a digital platform on restorative justice of the UCM is explained, continuing the preceding Innovation Projects on the same theme and aiming to digitize the preceding content. The project possesses two dimensions: on the one hand, the formative, which has consisted of ensuring the theoretical-practical training of pupils in restorative justice through the Learning and Service strategy and counting on the network of contacts we have made throughout these years, betting on virtual teaching and internationalization. On the other hand, the strictly innovative dimension is found, as the project involves betting on open resource innovation and virtual teaching, making the digital platform on the theme that has vertebrated on two initiatives: the creation of a MOOC by students and professors and the launch of a Web site within UCM with available and public material on this so important dimension of justice, framing it within all university programs centered on the 2030 Agenda.Depto. de Derecho Internacional, Eclesiástico y Filosofía del DerechoFac. de DerechoFALSEsubmitte

    Bladder cancer index: cross-cultural adaptation into Spanish and psychometric evaluation

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    BACKGROUND: The Bladder Cancer Index (BCI) is so far the only instrument applicable across all bladder cancer patients, independent of tumor infiltration or treatment applied. We developed a Spanish version of the BCI, and assessed its acceptability and metric properties. METHODS: For the adaptation into Spanish we used the forward and back-translation method, expert panels, and cognitive debriefing patient interviews. For the assessment of metric properties we used data from 197 bladder cancer patients from a multi-center prospective study. The Spanish BCI and the SF-36 Health Survey were self-administered before and 12 months after treatment. Reliability was estimated by Cronbach's alpha. Construct validity was assessed through the multi-trait multi-method matrix. The magnitude of change was quantified by effect sizes to assess responsiveness. RESULTS: Reliability coefficients ranged 0.75-0.97. The validity analysis confirmed moderate associations between the BCI function and bother subscales for urinary (r = 0.61) and bowel (r = 0.53) domains; conceptual independence among all BCI domains (r ≤ 0.3); and low correlation coefficients with the SF-36 scores, ranging 0.14-0.48. Among patients reporting global improvement at follow-up, pre-post treatment changes were statistically significant for the urinary domain and urinary bother subscale, with effect sizes of 0.38 and 0.53. CONCLUSIONS: The Spanish BCI is well accepted, reliable, valid, responsive, and similar in performance compared to the original instrument. These findings support its use, both in Spanish and international studies, as a valuable and comprehensive tool for assessing quality of life across a wide range of bladder cancer patients

    Role of age and comorbidities in mortality of patients with infective endocarditis

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    [Purpose]: The aim of this study was to analyse the characteristics of patients with IE in three groups of age and to assess the ability of age and the Charlson Comorbidity Index (CCI) to predict mortality. [Methods]: Prospective cohort study of all patients with IE included in the GAMES Spanish database between 2008 and 2015.Patients were stratified into three age groups:<65 years,65 to 80 years,and ≥ 80 years.The area under the receiver-operating characteristic (AUROC) curve was calculated to quantify the diagnostic accuracy of the CCI to predict mortality risk. [Results]: A total of 3120 patients with IE (1327 < 65 years;1291 65-80 years;502 ≥ 80 years) were enrolled.Fever and heart failure were the most common presentations of IE, with no differences among age groups.Patients ≥80 years who underwent surgery were significantly lower compared with other age groups (14.3%,65 years; 20.5%,65-79 years; 31.3%,≥80 years). In-hospital mortality was lower in the <65-year group (20.3%,<65 years;30.1%,65-79 years;34.7%,≥80 years;p < 0.001) as well as 1-year mortality (3.2%, <65 years; 5.5%, 65-80 years;7.6%,≥80 years; p = 0.003).Independent predictors of mortality were age ≥ 80 years (hazard ratio [HR]:2.78;95% confidence interval [CI]:2.32–3.34), CCI ≥ 3 (HR:1.62; 95% CI:1.39–1.88),and non-performed surgery (HR:1.64;95% CI:11.16–1.58).When the three age groups were compared,the AUROC curve for CCI was significantly larger for patients aged <65 years(p < 0.001) for both in-hospital and 1-year mortality. [Conclusion]: There were no differences in the clinical presentation of IE between the groups. Age ≥ 80 years, high comorbidity (measured by CCI),and non-performance of surgery were independent predictors of mortality in patients with IE.CCI could help to identify those patients with IE and surgical indication who present a lower risk of in-hospital and 1-year mortality after surgery, especially in the <65-year group
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