Large eddy simulations of solitons colliding with intrusions

The dynamics of lock-release Intrusive Gravity Currents (IGCs) generating Internal Solitary Waves (ISWs) are investigated by three-dimensional large eddy simulations. We set the numerical, laboratory-scale domain in order to release a uniform fluid in multi-layer, stratified ambient, exciting pycnocline displacements. By adopting different initial settings, we analyzed the influence of the ambient stratification on both IGCs and ISWs features. We present the main flow dynamics and the time evolution of IGC and ISW front and trough positions, respectively. During the simulations, the ISW is allowed to reach the vertical wall at the end of the domain, and it undergoes reflection. We then analyzed the interaction between the IGC and the reflected ISW: the wave is observed to accelerate as it is pushed upwards by the intrusion, which, in turns, flows below the ISW, decelerating. By analyzing instantaneous velocity fields and flow rates, we found that during this interaction, the ISW increases its celerity in response of the reduced area available for its propagation, partially occupied by the intrusion, and because the velocity field in the IGC interface surroundings acts to facilitate the ISW passage

Correlation between parodontal indexes and orthodontic retainers: prospective study in a group of 16 patients

Purpose. Fixed retainers are used to stabilize dental elements after orthodontic treatment. Being it a permanent treatment, it is necessary to instruct patients about a constant and continuous monitoring of their periodontal conditions and a correct oral hygiene. The aim of this study was to highlight the possible adverse effects of bonded retainers on parameters correlated to the health conditions of periodontal tissues. Materials and methods. We selected 16 patients, under treatment in the Orthodontics Department of University of Bari Dental School, who had undergone a lingual retainer insertion at the end of the orthodontic treatment. The patients were then divided into two groups (Control Group and Study Group) and monitored for 3 and 36 months, respectively. The following indexes were taken into consideration: gingival index (GI), plaque index (PI) and the presence of calculus (Calculus Index, CI), the probing depth and the presence of gingival recession on the six inferior frontal dental elements. Results. After the observation was carried out, any of the patients showed periodontal sockets and gingival recession. In the Study Group, only 1 patient had a PI score=3, the 7 left had scores between 0.66 and 2.83. In the Control Group, one patient had score=0, the other ones showed values between 0.5 and 1.66. The mean GI in the Study Group peaked at a score of 2.83, the minimum was 0.66; whereas in the Control Group the maximum value was 2 and the minimum 0.66. The CI in the Group Study was between 1 and 2. In the Control Group it was absent in only 1 patient, whereas in the remaining 7, it had a value between 0.3 and 1. The clinical data were studied by means of the Wilcoxon test. We found a statistically significant difference for what concerns the Plaque Indexes (PI) (P>0.05) and Calculus Indexes (CI) (P>0.1) in both groups, with higher scores in the Study Group, having retainers for 36 months. Any statistically significant difference was calculated for the GI. Conclusions. We can therefore conclude that patients with lingual retainers need periodontal hygiene and treatment as to prevent, in the course of time, periodontal damages non-detectable in short-term

Size-frequency distribution of boulders ≥10 m on comet 103P/Hartley 2

Aims. We derive the size-frequency distribution of boulders on comet 103P/Hartley 2, which are computed from the images taken by the Deep Impact/HRI-V imaging system. We indicate the possible physical processes that lead to these boulder size distributions. Methods. We used images acquired by the High Resolution Imager-Visible CCD camera on 4 November 2010. Boulders ≥10 m were identified and manually extracted from the datasets with the software ArcGIS. We derived the global size-frequency distribution of the illuminated side of the comet (∼50%) and identified the power-law indexes characterizing the two lobes of 103P. The three-pixel sampling detection, together with the shadowing of the surface, enables unequivocally detection of boulders scattered all over the illuminated surface. Results. We identify 332 boulders ≥10 m on the imaged surface of the comet, with a global number density of nearly 140/km2 and a cumulative size-frequency distribution represented by a power law with index of -2.7 ± 0.2. The two lobes of 103P show similar indexes, i.e., -2.7 ± 0.2 for the bigger lobe (called L1) and -2.6 +0.2/ - 0.5 for the smaller lobe (called L2). The similar power-law indexes and similar maximum boulder sizes derived for the two lobes both point toward a similar fracturing/disintegration phenomena of the boulders as well as similar lifting processes that may occur in L1 and L2. The difference in the number of boulders per km2 between L1 and L2 suggests that the more diffuse H2O sublimation on L1 produce twice the boulders per km2 with respect to those produced on L2 (primary activity CO2 driven). The 103P comet has a lower global power-law index (-2.7 vs. -3.6) with respect to 67P. The global differences between the two comets activities, coupled with a completely different surface geomorphology, make 103P hardly comparable to 67P. A shape distribution analysis of boulders ≥30 m performed on 103P suggests that the cometary boulders show more elongated shapes when compared to collisional laboratory fragments as well as to the boulders present on the surfaces of 25 143 Itokawa and 433 Eros asteroids. Consequently, this supports the interpretation that cometary boulders have different origins with respect to the impact-related asteroidal boulders

Methods for the Evaluation of Polyphenolic Content in ‘‘Uva Di Troia Canosina’’ Grape and Seeds at the Different Maceration Stages

Seeds and skins derived from the small berries of \u201cuva di Troia canosina\u201d grape, a Vitis vinifera variety autochthonous of Apulia region (South Italy), collected at four different stages (\u201cTesi\u201d 1\u20134) of the fermentation process were extracted by means of a maceration. The extracts were purified and analyzed, in order to study the influence of fermentation over grape seed and skin polyphenolic content. Seed extraction was performed by amultistep maceration with two solvents: ethanol and acetone, the former giving the best results; moreover, the extracts were purified with pure ethyl acetate in order to enrich their polyphenolic content. On the other hand, skin extraction was achieved by a single-step maceration in methanol and a purification with a brominated synthetic adsorbent resin. The evaluation of the extraction yield and polyphenolic content was carried out by TLC, UV/VIS, and LC/DAD analyses. In the seed extracts, the characteristic polyphenols (catechin, epicatechin, and procyanidin B1 and B2) useful for the development of a nutraceutical product, endowed with antioxidant properties, were present, while no resveratrol was detected in \u201cuva di Troia canosina\u201d grape skin extracts, even in an LC/MS-MS analysis

Pre-hibernation performances of the OSIRIS cameras onboard the Rosetta spacecraft

Context. The ESA cometary mission Rosetta was launched in 2004. In the past years and until the spacecraft hibernation in June 2011, the two cameras of the OSIRIS imaging system (Narrow Angle and Wide Angle Camera, NAC and WAC) observed many different sources. On 20 January 2014 the spacecraft successfully exited hibernation to start observing the primary scientific target of the mission, comet 67P/Churyumov-Gerasimenko. Aims. A study of the past performances of the cameras is now mandatory to be able to determine whether the system has been stable through the time and to derive, if necessary, additional analysis methods for the future precise calibration of the cometary data. Methods. The instrumental responses and filter passbands were used to estimate the efficiency of the system. A comparison with acquired images of specific calibration stars was made, and a refined photometric calibration was computed, both for the absolute flux and for the reflectivity of small bodies of the solar system. Results. We found a stability of the instrumental performances within ±1.5% from 2007 to 2010, with no evidence of an aging effect on the optics or detectors. The efficiency of the instrumentation is found to be as expected in the visible range, but lower than expected in the UV and IR range. A photometric calibration implementation was discussed for the two cameras. Conclusions. The calibration derived from pre-hibernation phases of the mission will be checked as soon as possible after the awakening of OSIRIS and will be continuously monitored until the end of the mission in December 2015. A list of additional calibration sources has been determined that are to be observed during the forthcoming phases of the mission to ensure a better coverage across the wavelength range of the cameras and to study the possible dust contamination of the optics

Dancing With Parkinson's Disease: The SI-ROBOTICS Study Protocol

Introduction: Parkinson's disease (PD) is one of the most frequent causes of disability among older people, characterized by motor disorders, rigidity, and balance problems. Recently, dance has started to be considered an effective exercise for people with PD. In particular, Irish dancing, along with tango and different forms of modern dance, may be a valid strategy to motivate people with PD to perform physical activity. The present protocol aims to implement and evaluate a rehabilitation program based on a new system called “SI-ROBOTICS,” composed of multiple technological components, such as a social robotic platform embedded with an artificial vision setting, a dance-based game, environmental and wearable sensors, and an advanced AI reasoner module. Methods and Analysis: For this study, 20 patients with PD will be recruited. Sixteen therapy sessions of 50 min will be conducted (two training sessions per week, for 8 weeks), involving two patients at a time. Evaluation will be primarily focused on the acceptability of the SI-ROBOTICS system. Moreover, the analysis of the impact on the patients' functional status, gait, balance, fear of falling, cardio-respiratory performance, motor symptoms related to PD, and quality of life, will be considered as secondary outcomes. The trial will start in November 2021 and is expected to end by April 2022. Discussions: The study aims to propose and evaluate a new approach in PD rehabilitation, focused on the use of Irish dancing, together with a new technological system focused on helping the patient perform the dance steps and on collecting kinematic and performance parameters used both by the physiotherapist (for the evaluation and planning of the subsequent sessions) and by the system (to outline the levels of difficulty of the exercise). Ethics and Dissemination: The study was approved by the Ethics Committee of the IRCCS INRCA. It was recorded in ClinicalTrials.gov on the number NCT05005208. The study findings will be used for publication in peer-reviewed scientific journals and presentations in scientific meetings

Prenatal tobacco smoke exposure increases hospitalizations for bronchiolitis in infants

BACKGROUND: Tobacco smoke exposure (TSE) is a worldwide health problem and it is considered a risk factor for pregnant women's and children's health, particularly for respiratory morbidity during the first year of life. Few significant birth cohort studies on the effect of prenatal TSE via passive and active maternal smoking on the development of severe bronchiolitis in early childhood have been carried out worldwide. METHODS: From November 2009 to December 2012, newborns born at ≥ 33 weeks of gestational age (wGA) were recruited in a longitudinal multi-center cohort study in Italy to investigate the effects of prenatal and postnatal TSE, among other risk factors, on bronchiolitis hospitalization and/or death during the first year of life. RESULTS: Two thousand two hundred ten newborns enrolled at birth were followed-up during their first year of life. Of these, 120 (5.4%) were hospitalized for bronchiolitis. No enrolled infants died during the study period. Prenatal passive TSE and maternal active smoking of more than 15 cigarettes/daily are associated to a significant increase of the risk of offspring children hospitalization for bronchiolitis, with an adjHR of 3.5 (CI 1.5-8.1) and of 1.7 (CI 1.1-2.6) respectively. CONCLUSIONS: These results confirm the detrimental effects of passive TSE and active heavy smoke during pregnancy for infants' respiratory health, since the exposure significantly increases the risk of hospitalization for bronchiolitis in the first year of lif

Risk factors for bronchiolitis hospitalization during the first year of life in a multicenter Italian birth cohort

BACKGROUND: Respiratory Syncytial Virus (RSV) is one of the main causes of respiratory infections during the first year of life. Very premature infants may contract more severe diseases and 'late preterm infants' may also be more susceptible to the infection. The aim of this study is to evaluate the risk factors for hospitalization during the first year of life in children born at different gestational ages in Italy. METHODS: A cohort of 33-34 weeks gestational age (wGA) newborns matched by sex and age with two cohort of newborns born at 35-37 wGA and > 37 wGA were enrolled in this study for a three-year period (2009-2012). Hospitalization for bronchiolitis (ICD-9 code 466.1) during the first year of life was assessed through phone interview at the end of the RSV season (November-March) and at the completion of the first year of life. RESULTS: The study enrolled 2314 newborns, of which 2210 (95.5 %) had a one year follow-up and were included in the analysis; 120 (5.4 %) were hospitalized during the first year of life for bronchiolitis. Children born at 33-34 wGA had a higher hospitalization rate compared to the two other groups. The multivariate analysis carried out on the entire population associated the following factors with higher rates for bronchiolitis hospitalization: male gender; prenatal treatment with corticosteroids; prenatal exposure to maternal smoking; singleton delivery; respiratory diseases in neonatal period; surfactant therapy; lack of breastfeeding; siblings <10 years old; living in crowded conditions and/or in unhealthy households and early exposure to the epidemic RSV season. When analysis was restricted to preterms born at 33-34 wGA the following variables were associated to higher rates of bronchiolitis hospitalization: male gender, prenatal exposure to maternal smoking, neonatal surfactant therapy, having siblings <10 years old, living in crowded conditions and being exposed to epidemic season during the first three months of life. CONCLUSION: Our study identified some prenatal, perinatal and postnatal conditions proving to be relevant and independent risk factors for hospitalization for bronchiolitis during the first year of life. The combination of these factors may lead to consider palivizumab prophylaxis in Italy

Experimental phase function and degree of linear polarization of cometary dust analogues

We present experimental phase function and degree of linear polarization curves for seven samples of cometary dust analogues namely: ground pieces of Allende, DaG521, FRO95002, and FRO99040 meteorites, Mg-rich olivine and pyroxene, and a sample of organic tholins. The experimental curves have been obtained at the IAA Cosmic Dust Laboratory at a wavelength of 520 nm covering a phase angle range from 3 degrees to 175 degrees. We also provide values of the backscattering enhancement for our cometary analogue samples. The final goal of this work is to compare our experimental curves with observational data of comets and asteroids to better constrain the nature of cometary and asteroidal dust grains. All measured phase functions present the typical behaviour for mu m-sized cosmic dust grains. Direct comparison with data provided by the OSIRIS/Rosetta camera for comet 67P/Churyumov-Gerasimenko reveals significant differences and supports the idea of a coma dominated by big chunks, larger than one micrometer. The polarization curves are qualitatively similar to ground-based observations of comets and asteroids. The position of the inversion polarization angle seems to be dependent on the composition of the grains. We find opposite dependence of the maximum of the polarization curve for grains sizes in the Rayleigh-resonance and geometric optics domains, respectively.Peer reviewe

Has the Rajiv Aarogyasri Community Health Insurance Scheme of Andhra Pradesh Addressed the Educational Divide in Accessing Health Care?

Background Equity of access to healthcare remains a major challenge with families continuing to face financial and non-financial barriers to services. Lack of education has been shown to be a key risk factor for 'catastrophic' health expenditure (CHE), in many countries including India. Consequently, ways to address the education divide need to be explored. We aimed to assess whether the innovative state-funded Rajiv Aarogyasri Community Health Insurance Scheme of Andhra Pradesh state launched in 2007, has achieved equity of access to hospital inpatient care among households with varying levels of education. Methods We used the National Sample Survey Organization 2004 survey as our baseline and the same survey design to collect post-intervention data from 8623 households in the state in 2012. Two outcomes, hospitalisation and CHE for inpatient care, were estimated using education as a measure of socio-economic status and transforming levels of education into ridit scores. We derived relative indices of inequality by regressing the outcome measures on education, transformed as a ridit score, using logistic regression models with appropriate weights and accounting for the complex survey design. Findings Between 2004 and 2012, there was a 39% reduction in the likelihood of the most educated person being hospitalised compared to the least educated, with reductions observed in all households as well as those that had used the Aarogyasri. For CHE the inequality disappeared in 2012 in both groups. Sub-group analyses by economic status, social groups and rural-urban residence showed a decrease in relative indices of inequality in most groups. Nevertheless, inequalities in hospitalisation and CHE persisted across most groups. Conclusion During the time of the Aarogyasri scheme implementation inequalities in access to hospital care were substantially reduced but not eliminated across the education divide. Universal access to education and schemes such as Aarogyasri have the synergistic potential to achieve equity of access to healthcare