Regulatory framework analysis for the unmanned inland waterway vessel

Several research and innovation initiatives have been pursued worldwide for the development of autonomous and unmanned ships. However, these ships’ wider adoption is limited by the existing regulatory framework, which presently does not provide clear guidelines and requirements for the design and operation of autonomous ships. The aim of this study is to comprehensively analyse the existing maritime safety and security regulatory framework including the national and international regulations for designing, building, testing and operating the unmanned next-generation inland waterways (IWW) vessel considered in the AUTOSHIP project operating in the Flemish inland waters. This study initiates with the identification of the regulatory bodies controlling the operation and testing of the investigated vessel and then identifies barriers in regulations where amendments or new developments are required. Subsequently, a strategy for overcoming these barriers is proposed. The main regulatory gaps that are identified include the requirements for navigation, emergency and environment protection functions, where new definitions are required for unmanned ship operations (e.g. master, crew, remote control centre). Moreover, some of the regulations explicitly specify the existence of crew on the ships for navigation, emergency and environment protection functions. A three-phase strategy is proposed to overcome the current regulatory barriers.publishedVersio

A volumetric census of the Barents Sea in a changing climate

The Barents Sea, located between the Norwegian Sea and the Arctic Ocean, is one of the main pathways of the Atlantic Meridional Overturning Circulation. Changes in the water mass transformations in the Barents Sea potentially affect the thermohaline circulation through the alteration of the dense water formation process. In order to investigate such changes, we present here a seasonal atlas of the Barents Sea including both temperature and salinity for the period 1965–2016. The atlas is built as a compilation of datasets from the World Ocean Database, the Polar Branch of the Russian Federal Research Institute of Fisheries and Oceanography and the Norwegian Polar Institute using the Data-Interpolating Variational Analysis (DIVA) tool. DIVA allows for a minimization of the expected error with respect to the true field. The atlas is used to provide a volumetric analysis of water mass characteristics and an estimation of the ocean heat and freshwater contents. The results show a recent “Atlantification” of the Barents Sea, that is a general increase in both temperature and salinity, while its density remains stable. The atlas is made freely accessible as user-friendly NetCDF files to encourage further research in the Barents Sea physics (https://doi.org/10.21335/NMDC-2058021735, Watelet et al., 2020).publishedVersio

SCREENING ELDERLY PATIENTS FOR COGNITIVE FUNCTION AT A REFERENCE CENTER IN NORTHEAST BRAZIL

Introduction: Both demographic and epidemiologic transitions experienced by the country in the past decades bring a number of crucial issues for the health care system, especially in the context of severe social inequality, poverty and fragility of institutions. Objectives: To identify the cognitive profile of non-institutionalized elderly outpatients seen at a reference center in São Luís, Brazil. Methods: Cross-sectional study conducted in a reference center in São Luís, MA, Brazil. Final sample consisted of 102 individuals. Inclusion criteria were: age equal to or over 60 years at first consultation, and ability to understand and to answer the tests for cognitive assessment. This study utilized 3 validated tests that have been widely used in Brazil, including the Mini-Mental State Examination (MMSE), the Verbal Fluency Test (VFT) and the Clock Drawing Test (CDT). Results: A total of 102 individuals were included. The majority of patients were women (72%), aged 60-64 years (33.3%), married or living in consensual union (43.1%), and had non-white skin color (52.9%). The prevalence of cognitive impairment was 60.7% for the Minimental state examination, 23.5% for the Verbal Fluency Test and 59.8 % for the Clock Drawing Test. Regarding the presence of cognitive impairment in at least one test, a total of 83.3% was observed. There was an association between the occurrence of cognitive impairment with both marital status and self-perception of health status (p < 0.05). Conclusions: Hence, in the present study, the occurrence of cognitive impairment was considered high and might be associated with marital and health status.Keywords: Health of the Elderly. Aging. Cognition

Modification of butterfat by selective hydrolysis and interesterification by lipase: Process and product characterization

Butterfat was chemically modified via combined hydrolysis and interesterification, catalyzed by a commercial lipase immobilized onto a bundle of hydrophobic hollow fibers. The main goal of this research effort was to engineer butterfat with improved nutritional properties by taking advantage of the sn-1,3 specificity and fatty acid specificity of a lipase in hydrolysis and ester interchange reactions, and concomitantly decrease its level of long-chain saturated fatty acid residues (viz., lauric, myristic, and palmitic acids) and change its melting properties. All reactions were carried out at 40°C in a solvent free system under controlled water activity, and their extent was monitored via chromatographic assays for free fatty acids, esterified fatty acid moieties, and triacylglycerols; the thermal behavior of the modified butterfat was also assessed via calorimetry. Lipase-modified butterfat possesses a wider melting temperature range than regular butterfat. The total saturated triacylglycerols decreased by 2.2%, whereas triacylglycerols with 28–46 acyl carbons (which contained two or three lauric, myristic, or palmitic acid moieties) decreased by 13%. The total monoene triacylglycerols increased by 5.4%, whereas polyene triacylglycerols decreased by 2.9%. The triacylglycerols of interesterified butterfat had ca. 10.9% less lauric, 10.7% less myristic, and 13.6% less palmitic acid residues than those of the original butterfat

Prognostic model for patient survival in primary anorectal mucosal melanoma:stage at presentation determines relevance of histopathologic features

Pathological staging of primary anorectal mucosal melanoma is often performed according to the American Joint Commission on Cancer (AJCC) guidelines for cutaneous melanoma, as an anorectal melanoma-specific staging system does not exist. However, it remains unknown whether prognostic factors derived for cutaneous melanoma also stratify risk in anorectal melanoma. We retrospectively determined correlations between clinicopathological parameters and disease-specific survival in 160 patients. Patients were grouped by clinical stage at presentation (localized disease, regional or distant metastases). Cox proportional hazards regression models determined associations with disease-specific survival. We also summarized the somatic mutations identified in a subset of tumors analyzed for hotspot mutations in cancer-associated gene panels. Most of the patients were white (82%) and female (61%). The median age was 62 years. With a median follow-up of 1.63 years, median disease-specific survival was 1.75 years, and 121 patients (76%) died of anorectal melanoma. Patients presenting with regional (34%) or distant metastases (24%) had significantly shorter disease-specific survival compared to those with disease localized to the anorectum (42%). Of the 71 anorectal melanoma tumors analyzed for hotspot genetic alterations, somatic mutations involving the KIT gene (24%) were most common followed by NRAS (19%). Increasing primary tumor thickness, lymphovascular invasion, and absence of regression also correlated with shorter disease-specific survival. Primary tumor parameters correlated with shorter disease-specific survival in patients presenting with localized disease (tumor thickness) or regional metastases (tumor thickness, absence of regression, and lymphovascular invasion), but not in patients presenting with distant metastases. Grouping of patients according to a schema based on modifications of the 8th edition AJCC cutaneous melanoma staging system stratified survival in anorectal melanoma. Our findings support stage-specific associations between primary tumor parameters and disease-specific survival in anorectal melanoma. Moreover, the AJCC cutaneous melanoma staging system and minor modifications of it predicted survival among anorectal melanoma patients

LSST Science Book, Version 2.0

A survey that can cover the sky in optical bands over wide fields to faint magnitudes with a fast cadence will enable many of the exciting science opportunities of the next decade. The Large Synoptic Survey Telescope (LSST) will have an effective aperture of 6.7 meters and an imaging camera with field of view of 9.6 deg^2, and will be devoted to a ten-year imaging survey over 20,000 deg^2 south of +15 deg. Each pointing will be imaged 2000 times with fifteen second exposures in six broad bands from 0.35 to 1.1 microns, to a total point-source depth of r~27.5. The LSST Science Book describes the basic parameters of the LSST hardware, software, and observing plans. The book discusses educational and outreach opportunities, then goes on to describe a broad range of science that LSST will revolutionize: mapping the inner and outer Solar System, stellar populations in the Milky Way and nearby galaxies, the structure of the Milky Way disk and halo and other objects in the Local Volume, transient and variable objects both at low and high redshift, and the properties of normal and active galaxies at low and high redshift. It then turns to far-field cosmological topics, exploring properties of supernovae to z~1, strong and weak lensing, the large-scale distribution of galaxies and baryon oscillations, and how these different probes may be combined to constrain cosmological models and the physics of dark energy.Comment: 596 pages. Also available at full resolution at http://www.lsst.org/lsst/sciboo

Appropriate use criteria in dermatopathology: Initial recommendations from the American Society of Dermatopathology

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/145218/1/cup13142.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/145218/2/cup13142_am.pd

Beyond BRAFV600: Clinical Mutation Panel Testing by Next-Generation Sequencing in Advanced Melanoma

The management of melanoma has evolved owing to improved understanding of its molecular drivers. To augment the current understanding of the prevalence, patterns, and associations of mutations in this disease, the results of clinical testing of 699 advanced melanoma patients using a pan-cancer next-generation sequencing (NGS) panel of hotspot regions in 46 genes were reviewed. Mutations were identified in 43 of the 46 genes on the panel. The most common mutations were BRAFV600 (36%), NRAS (21%), TP53 (16%), BRAFNon-V600 (6%), and KIT (4%). Approximately one-third of melanomas had >1 mutation detected, and the number of mutations per tumor was associated with melanoma subtype. Concurrent TP53 mutations were the most frequent events in tumors with BRAFV600and NRAS mutations. Melanomas with BRAFNon-V600mutations frequently harbored concurrent NRAS mutations (18%), which were rare in tumors with BRAFV600 mutations (1.6%). The prevalence of BRAFV600 and KIT mutations were significantly associated with melanoma subtypes, and BRAFV600 and TP53 mutations were significantly associated with cutaneous primary tumor location. Multiple potential therapeutic targets were identified in metastatic unknown primary and cutaneous melanomas that lacked BRAFV600and NRAS mutations. These results enrich our understanding of the patterns and clinical associations of oncogenic mutations in melanoma

Psychosocial predictors of weight regain in the weight loss maintenance trial

This study's purpose was to identify psychosocial predictors of weight loss maintenance in a multi-site clinical trial, following a group-based weight loss program. Participants (N = 1025) were predominately women (63 %) and 38 % were Black (mean age = 55.6 years; SD = 8.7). At 12 months, higher SF-36 mental health composite scores were associated with less weight regain (p < .01). For Black participants, an interaction existed between race and friends' encouragement for exercise, where higher exercise encouragement was related to more weight regain (p < .05). At 30 months, friends' encouragement for healthy eating was associated with more weight regain (p < .05), whereas higher SF-36 mental health composite scores were related to less weight regain (p < .0001). Perceived stress and select health-related quality of life indices were associated with weight regain; this relationship varied across gender, race, and treatment conditions. Temporal changes in these variables should be investigated for their impact on weight maintenance

Azimuthal anisotropy of charged jet production in root s(NN)=2.76 TeV Pb-Pb collisions

We present measurements of the azimuthal dependence of charged jet production in central and semi-central root s(NN) = 2.76 TeV Pb-Pb collisions with respect to the second harmonic event plane, quantified as nu(ch)(2) (jet). Jet finding is performed employing the anti-k(T) algorithm with a resolution parameter R = 0.2 using charged tracks from the ALICE tracking system. The contribution of the azimuthal anisotropy of the underlying event is taken into account event-by-event. The remaining (statistical) region-to-region fluctuations are removed on an ensemble basis by unfolding the jet spectra for different event plane orientations independently. Significant non-zero nu(ch)(2) (jet) is observed in semi-central collisions (30-50% centrality) for 20 <p(T)(ch) (jet) <90 GeV/c. The azimuthal dependence of the charged jet production is similar to the dependence observed for jets comprising both charged and neutral fragments, and compatible with measurements of the nu(2) of single charged particles at high p(T). Good agreement between the data and predictions from JEWEL, an event generator simulating parton shower evolution in the presence of a dense QCD medium, is found in semi-central collisions. (C) 2015 CERN for the benefit of the ALICE Collaboration. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).Peer reviewe