1,189 research outputs found

    HMM-Based tracking of moving terminals in dense multipath indoor environments

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    This paper deals with the problem of radio localization of moving terminals (MTs) for indoor applications with mixed line-of sight/non-line-of-sight (LOS/NLOS) conditions. To reduce false localizations, a Bayesian approach is proposed to estimate the MT position. The tracking algorithm is based on a Hidden Markov Model (HMM) that permits to jointly track both the MT position and the sight condition. Numerical results show that the proposed HMM method improves the localization accuracy in LOS/NLOS indoor environments

    Analysis of errors in histology by root cause analysis: a pilot study

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    Introduction. The study objective is to evaluate critical points in the process of pre-analytical histology in an Anatomic Pathology laboratory. Errors are an integral part of human systems, includ- ing the complex system of Anatomic Pathology. Previous studies focused on errors committed in diagnosis and did not consider the issues related to the histology preparation of routine processes. Methods. Root Cause Analysis was applied to the process of histology preparation in order to identify the root cause of each previously identified problem. The analysis started by defining an ?a priori? list of errors that could occur in the histology prepara- tion processes. During a three-month period, a trained technician tracked the errors encountered during the process and reported them on a form. ?Fishbone? diagram and ?Five whys? methods were then applied. Results. 8,346 histological cases were reviewed, for which 19,774 samples were made and from which 29,956 histologies were pre- pared. 132 errors were identified. Errors were detected in each phase: accessioning (6.5%), gross dissecting (28%), processing (1.5%), embedding (4.5%), tissue cutting and slide mounting (23%), coloring, (1.5%), labeling and releasing (35%). Discussion. Root cause analysis is effective and easy to use in clinical risk management. It is an important step for the identifi- cation and prevention of errors, that are frequently due to multi- ple causes. Developing operators? awareness of their central role in the risk management process is possible by targeted training. Furthermore, by highlighting the most relevant points of interest, it is possible to improve both the methodology and the procedural safety

    Surgery versus stereotactic radiotherapy for treatment of pulmonary metastases. A systematic review of literature

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    It is not clear as to which is the best treatment among surgery and stereotactic radiotherapy (SBRT) for lung oligometastases. A systematic review of literature with a priori selection criteria was conducted on articles on the treatment of pulmonary metastases with surgery or SBRT. Only original articles with a population of patients of more than 50 were selected. After final selection, 61 articles on surgical treatment and 18 on SBRT were included. No difference was encountered in short-term survival between pulmonary metastasectomy and SBRT. In the long-term surgery seems to guarantee better survival rates. Mortality and morbidity after treatment are 0-4.7% and 0-23% for surgery, and 0-2% and 4-31% for SBRT. Surgical metastasectomy remains the treatment of choice for pulmonary oligometastases. Patients with metastatic cancer with a limited number of deposits may benefit from surgical removal or irradiation of tumor nodules in addiction to chemotherapy. Surgical resection has been demonstrated to improve survival and, in some cases, can be curative. Stereotactic radiotherapy is emerging as a less invasive alternative to surgery, but settings and implications of the two treatments are profoundly different. The two techniques show similar results in the short-term, with lower complications rates for radiotherapy, while in the long-term surgery seems to guarantee higher survival rates

    Magnon Heat Transport in doped La2CuO4\rm La_2CuO_4

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    We present results of the thermal conductivity of La2CuO4\rm La_2CuO_4 and La1.8Eu0.2CuO4\rm La_{1.8}Eu_{0.2}CuO_4 single-crystals which represent model systems for the two-dimensional spin-1/2 Heisenberg antiferromagnet on a square lattice. We find large anisotropies of the thermal conductivity, which are explained in terms of two-dimensional heat conduction by magnons within the CuO2_2 planes. Non-magnetic Zn substituted for Cu gradually suppresses this magnon thermal conductivity Îşmag\kappa_{\mathrm{mag}}. A semiclassical analysis of Îşmag\kappa_{\mathrm{mag}} is shown to yield a magnon mean free path which scales linearly with the reciprocal concentration of Zn-ions.Comment: 4 pages, 3 figure

    GARFIELD + RCo Digital Upgrade: a Modern Set-up for Mass and Charge Identification of Heavy Ion Reaction Products

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    An upgraded GARFIELD + Ring Counter (RCo) apparatus is presented with improved performances as far as electronics and detectors are concerned. On one side fast sampling digital read out has been extended to all detectors, allowing for an important simplification of the signal processing chain together with an enriched extracted information. On the other side a relevant improvement has been made in the forward part of the setup (RCo): an increased granularity of the CsI(Tl) crystals and a higher homogeneity in the silicon detector resistivity. The renewed performances of the GARFIELD + RCo array make it suitable for nuclear reaction measurements both with stable and with Radioactive Ion Beams (RIB), like the ones foreseen for the SPES facility, where the Physics of Isospin can be studied.Comment: 13 pages, 19 figures - paper submitted to Eur. Phys. J.

    Evaluation of Rotor Blade Models for Rotor Outwash

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    In this work Computational Fluid Dynamics is used as a tool for rotor outwash evaluation. The paper concentrates on the validation of the method, presents different modelling approaches and concludes with suggestions on the use of the method for detailed simulations of rotor outwash. The required computer resources for the detailed computations of the wake are also discussed

    Epicure: a European epidemiological study of patients with an advanced or metastatic Urothelial Carcinoma (UC) having progressed to a platinum-based chemotherapy

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    Background: Platinum-based systemic chemotherapy is considered the backbone for management of advanced urothelial carcinomas. However there is a lack of real world data on the use of such chemotherapy regimens, on patient profiles and on management after treatment failure. Methods: Fifty-one randomly selected physicians from 4 European countries registered 218 consecutive patients in progression or relapse following a first platinum-based chemotherapy. Patient characteristics, tumor history and treatment regimens, as well as the considerations of physicians on the management of urothelial carcinoma were recorded. Results: A systemic platinum-based regimen had been administered as the initial chemotherapy in 216 patients: 15 in the neoadjuvant setting, 61 in adjuvant therapy conditions, 137 in first-line advanced setting and 3 in other conditions. Of these patients, 76 (35 %) were initially considered as cisplatin-unfit, mainly because of renal impairment (52 patients). After platinum failure, renal impairment was observed in 44 % of patients, ECOG Performance Status ≥ 2 in 17 %, hemoglobinemia 30 % patients). The most frequent all-settings second anticancer therapy regimen was vinflunine (70 % of single-agent and 42 % of all subsequent treatments), the main reasons evoked by physicians (>1 out of 4) being survival benefit, safety and phase III evidence. Conclusion: In this daily practice experience, a majority of patients with urothelial carcinoma previously treated with a platinum-based therapy received a second chemotherapy regimen, most often a single agent after an initial chemotherapy in the advanced setting and preferably a cytotoxic combination after a neoadjuvant or adjuvant chemotherapy. Performance Status and prior response to chemotherapy were the main drivers of further treatment decisions

    an inclusive view of saharan dust advections to italy and the central mediterranean

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    Abstract We address observations of physical and chemical properties of Saharan dust advections (SDA) as observed in the Central Mediterranean basin, within the framework of the LIFE+10, DIAPASON project ( www.diapason-life.eu ). DIAPASON aimed at the definition of best practices and tools to detect and evaluate the contribution of Saharan dust to ground particulate matter (PM) loads. Polarization-sensitive, automated lidar-ceilometers (PLC) are one of the tools prototyped and used in the Rome area to reach this goal. The results presented in this study focus on: 1) the effectiveness of various observational tools at detecting and characterizing atmospheric dust plumes, and 2) processes and properties of Saharan dust advections reaching the central Mediterranean region. In this respect, the combination of numerical model forecasts and time-resolved (at least hourly) PLC or chemical observations was found to constitute an efficient way to predict and confirm the presence of Saharan dust. In the period 2011–2014, Saharan dust advections were observed to reach over Rome on about 32% of the days. In some 70% of these days the dust reached the ground in dry conditions, while 30% of advection days involved wet deposition. Dry (wet) deposition was found to maximize (minimize) in summer. The northern Sahara between Algeria and Tunisia (Grand Erg Oriental), was confirmed as the most frequent region of origin of the dust mobilized towards central Italy. Secondary source regions include northern Morocco and Libya. On a statistical basis, Saharan advections to Rome were preceded by increasing atmospheric pressure and stability. These conditions were found to favor the accumulation of aerosols related to local emission sources before the SDA reached the ground. Meteorology (precipitation and turbulence in primis) resulted to be an important modulator of PM concentrations during SDAs. Magnitude and timing of these factors should be well considered to correctly evaluate the dust share in PM loads or the related health effects. Saharan advections observed during DIAPASON affected particle concentrations down to diameters of about 0.6–1 μm, with number concentrations peaking at the 2.5 μm diameter range. These advections were associated with a significant increase in Si-rich particles containing a non-negligible fraction of water. Rainfall was observed to preferentially remove dust particles larger than 2 μm, causing a significant depletion in the Ca-rich fraction with respect to the Si-rich one. The increase in PLC depolarization ratios above 5%, as well as the hourly PIXE records of the Si/Ca ratio increasing above 1 were found to represent good markers for the actual presence of Saharan dust particulate matter, when Saharan advection conditions are occurring

    The role of probiotics on the microbiota: effect on obesity

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    The microbiota and the human host maintain a symbiotic association. Nowadays, metagenomic analyses are providing valuable knowledge on the diversity and functionality of the gut microbiota. However, with regard to the definition of a “healthy microbiota” and the characterization of the dysbiosis linked to obesity, there is still not a clear answer. Despite this fact, attempts have been made to counteract obesity through probiotic supplementation. A literature search of experimental studies relevant to the topic was performed in PubMed database with the keywords “probiotic” and “obesity” and restricted to those with “Lactobacillus” or “Bifidobacterium” in the title. So far, evidence of an antiobesity effect of different lactobacilli and bifidobacteria has been mainly obtained from animal models of dietary-induced obesity. Using these experimental models, a substantial number of studies have reported reductions in weight gain and, in particular, fat tissue mass at different locations following administration of bacteria, as compared with controls. Antiatherogenic and anti-inflammatory effects—including regulation of expression of lipogenic and lipolytic genes in the liver, reduction in liver steatosis, improvement of blood lipid profile and glucose tolerance, decreased endotoxemia, and regulation of inflammatory pathways—are also reported in many of them. The number of human studies focused on probiotic administration for obesity management is still very scarce, and it is too soon to judge their potential efficacy, especially when considering the fact that the actions of probiotics are always strain specific and the individual response varies according to intrinsic factors, the overall composition of diet, and their interactions
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