Towards Optimal Planning for Green, Smart, and Semantically Enriched Cultural Tours

This concept paper presents our viewpoint regarding the exploitation of cutting-edge technologies for the delivery of smart tourism cultural tours. Specifically, the paper reports preliminary work on the design of a novel smart tourism solution tailored to a multiobjective optimization system based on factors such as the preferences and constraints of the tourist/visitor, the city’s accessibility and traffic, the weather conditions, and others. By optimizing cultural tours and delivering comfortable, easy-to-follow, green, acceptable visiting experiences, the proposed solution, namely, OptiTours, aims to become a leading actor in tourism industry transformation. Moreover, specific actions, applications, and methodologies target increasing touring acceptance while advancing the overall (smart) city impression. OptiTours aims to deliver a novel system to attract visitors and guide them to enjoy a city’s possible points of interest, achieving high visitor acceptance. Advanced technologies in semantic trajectories’ management and optimization in route planning will be exploited towards the discovery of optimal, smart, green, and comfortable routes/tours. A novel multiscale and multifactor optimization system aims to deliver not only optimal personalized routes but also alternative routes, ranked based on visitors’ preferences and constraints. In this concept paper, we contribute a detailed description of the OptiTours approach for ICT-based smart tourism, and a high-level architectural design of the solution that is planned to be implemented in the near future

Self-Healing of Semantically Interoperable Smart and Prescriptive Edge Devices in IoT

Smart homes enhance energy efficiency without compromising residents’ comfort. To support smart home deployment and services, an IoT network must be established, while energy-management techniques must be applied to ensure energy efficiency. IoT networks must perpetually operate to ensure constant energy and indoor environmental monitoring. In this paper, an advanced sensor-agnostic plug-n-play prescriptive edge-to-edge IoT network management with micro-services is proposed, supporting also the semantic interoperability of multiple smart edge devices operating in the smart home network. Furthermore, IoT health-monitoring algorithms are applied to inspect network anomalies taking proper healing actions/prescriptions without the need to visit the residency. An autoencoder long short-term memory (AE-LSTM) is selected for detecting problematic situations, improving error prediction to 99.4%. Finally, indicative evaluation results reveal the mitigation of the IoT system breakdowns

The Thessaloniki ESHRE/ESGE consensus on diagnosis of female genital anomalies

What is the recommended diagnostic work-up of female genital anomalies according to the European Society of Human Reproduction and Embryology (ESHRE)/European Society for Gynaecological Endoscopy (ESGE) system? The ESHRE/ESGE consensus for the diagnosis of female genital anomalies is presented. Accurate diagnosis of congenital anomalies still remains a clinical challenge due to the drawbacks of the previous classification systems and the non-systematic use of diagnostic methods with varying accuracy, with some of them quite inaccurate. Currently, a wide range of non-invasive diagnostic procedures are available, enriching the opportunity to accurately detect the anatomical status of the female genital tract, as well as a new objective and comprehensive classification system with well-described classes and sub-classes. The ESHRE/ESGE Congenital Uterine Anomalies (CONUTA) Working Group established an initiative with the goal of developing a consensus for the diagnosis of female genital anomalies. The CONUTA working group and imaging experts in the field have been appointed to run the project. The consensus is developed based on (1) evaluation of the currently available diagnostic methods and, more specifically, of their characteristics with the use of the experts panel consensus method and of their diagnostic accuracy performing a systematic review of evidence and (2) consensus for (a) the definition of where and how to measure uterine wall thickness and (b) the recommendations for the diagnostic work-up of female genital anomalies, based on the results of the previous evaluation procedure, with the use of the experts panel consensus method. Uterine wall thickness is defined as the distance between interostial line and external uterine profile at the midcoronal plane of the uterus; alternatively, if a coronal plane is not available, the mean anterior and posterior uterine wall thickness at the longitudinal plane could be used. Gynaecological examination and two-dimensional ultrasound (2D US) are recommended for the evaluation of asymptomatic women. Three-dimensional ultrasound (3D US) is recommended for the diagnosis of female genital anomalies in "symptomatic" patients belonging to high-risk groups for the presence of a female genital anomaly and in any asymptomatic woman suspected to have an anomaly from routine avaluation. Magnetic resonance imaging (MRI) and endoscopic evaluation are recommended for the sub-group of patients with suspected complex anomalies or in diagnostic dilemmas. Adolescents with symptoms suggestive for the presence of a female genital anomaly should be thoroughly evaluated with 2D US, 3D US, MRI and endoscopy. The various diagnostic methods should be used in a proper way and evaluated by experts to avoid mis-, over- and underdiagnosis. The role of a combined ultrasound examination and outpatient hysteroscopy should be prospectively evaluated. It is a challenge for further research, based on diagnosis, to objectively evaluate the clinical consequences related to various degrees of uterine deformity.status: publishe

The Thessaloniki ESHRE/ESGE consensus on diagnosis of female genital anomalies†

STUDY QUESTION: What is the recommended diagnostic work-up of female genital anomalies according to the European Society of Human Reproduction and Embryology (ESHRE)/European Society for Gynaecological Endoscopy (ESGE) system? SUMMARY ANSWER: The ESHRE/ESGE consensus for the diagnosis of female genital anomalies is presented. WHAT IS KNOWN ALREADY: Accurate diagnosis of congenital anomalies still remains a clinical challenge because of the drawbacks of the previous classification systems and the non-systematic use of diagnostic methods with varying accuracy, some of them quite inaccurate. Currently, a wide range of non-invasive diagnostic procedures are available enriching the opportunity to accurately detect the anatomical status of the female genital tract, as well as a new objective and comprehensive classification system with well-described classes and sub-classes. STUDY DESIGN, SIZE, DURATION: The ESHRE/ESGE CONgenital UTerine Anomalies (CONUTA) Working Group established an initiative with the goal of developing a consensus for the diagnosis of female genital anomalies. The CONUTA working group and imaging experts in the field have been appointed to run the project. PARTICIPANTS/MATERIALS, SETTING, METHODS: The consensus is developed based on: (i) evaluation of the currently available diagnostic methods and, more specifically, of their characteristics with the use of the experts panel consensus method and of their diagnostic accuracy by performing a systematic review of evidence and (ii) consensus for the definition of where and how to measure uterine wall thickness and the recommendations for the diagnostic work-up of female genital anomalies, based on the results of the previous evaluation procedure, with the use of the experts panel consensus method. MAIN RESULTS AND THE ROLE OF CHANCE: Uterine wall thickness is defined as the distance between the interostial line and external uterine profile at the midcoronal plane of the uterus; alternatively, if a coronal plane is not available, the mean anterior and posterior uterine wall thickness at the longitudinal plane could be used. Gynecological examination and two-dimensional ultrasound (2D US) are recommended for the evaluation of asymptomatic women. Three-dimensional (3D) US is recommended for the diagnosis of female genital anomalies in 'symptomatic' patients belonging to high risk groups for the presence of a female genital anomaly and in any asymptomatic woman suspected to have an anomaly from routine evaluation. Magnetic resonance imaging (MRI) and endoscopic evaluation are recommended for the subgroup of patients with suspected complex anomalies or in diagnostic dilemmas. Adolescents with symptoms suggestive for the presence of a female genital anomaly should be thoroughly evaluated with 2D US, 3D US, MRI and endoscopically. LIMITATIONS, REASONS FOR CAUTION: The various diagnostic methods should always be used in the proper way and evaluated by experts to avoid mis-, over- and underdiagnosis. WIDER IMPLICATIONS OF THE FINDINGS: The role of a combined US examination and outpatient hysteroscopy should be prospectively evaluated. It is a challenge for further research, based on diagnosis, to objectively evaluate the clinical consequences related to various degrees of uterine deformity. STUDY FUNDING/COMPETING INTERESTS: None.status: publishe

Septate uterus and reproductive outcomes: let\u2019s get serious about this

Letter to the Editor related to the manuscript titled: Septum resection in women with a septate uterus: a cohort stud

Reaction Dynamics And Nuclear Structure Via Deep Inelastic Collisions With Heavy-Ions: Search For Particle-Vibration Couplings in [sup 49]Ca

The deep inelastic reaction (DIC) Ca-48+ Ni-64, at an energy approximately 2.5 times above the Coulomb barrier, was studied using the CLARA-PRISMA setup at the Laboratori Nazionali di Legnaro. Total cross sections and angular distributions, both energy integrated and associated to the population of selected excited states, are measured for the most intense reaction channels. The gamma-decay of the most intense reaction products is also studied. The use of angular distributions and polarization measurements of gamma transitions allows to firmly establish spin and parity of excited states. Both reaction and gamma spectroscopy studies demonstrate the relevance of DIC with heavy ions for the investigation of moderately neutron rich systems