Multi-objective design of a power inductor: a benchmark of inverse induction heating

In the paper, a bi-objective optimization problem characterized by coupled field analysis is investigated. The optimal design of a pancake inductor for the controlled heating of a graphite disk is considered as the benchmark problem. The Pareto front trading off electrical efficiency and thermal uniformity is identified by means of a standard algorithm of evolutionary computing. A mesh-inspired definition of thermal uniformity is proposed

Biogeography-inspired multiobjective optimization for helping MEMS synthesis

AbstractThe aim of the paper is to assess the applicability of a multi-objective biogeography-based optimisation algorithm in MEMS synthesis. In order to test the performances of the proposed method in this research field, the optimal shape design of an electrostatic micromotor, and two different electro-thermo-elastic microactuators are considered as the case studies

Patient adherence to tyrosine kinase inhibitor therapy in chronic myeloid leukemia: influence of coping strategies and psychological factors

BACKGROUND: Medication non-adherence is associated with poor health outcomes and increased healthcare costs. Although the use of tyrosine kinase inhibitor (TKI) for chronic myeloid leukemia (CML) treatment is satisfactory in clinical results, it is subject to non-adherence. In this study, we intend to verify if there are psychological factors, such as anxiety, depression, and coping style that can influence medication adherence.METHODS: The study was conducted on 120 patients with CML receiving long-term TKI therapy. The sample was collected in the years 2016-2017 at Department of Oncology-Hematology in Pescara, Italy. Adherence behaviour was measured with the eight-item Morisky Medication Adherence Scale (MMAS-8) and psychological factors investigated included: anxiety and depression symptoms [Hospital Anxiety and Depression Scale (HADS)] and coping strategies [abbreviated version of the Coping Orientation to Problems Experienced (Brief-COPE)]. T-test and logistic regression analyses were performed to investigate factors associated with medication adherence.RESULTS: The participants, 74 men and 46 women, reported a mean age of 56.65 ± 15.80 years. The results showed that 71.67% of the patients were adherent while 28.33% were non-adherent. Furthermore, adherence was positively associated with active coping (P < 0.050) and instrumental support (P < 0.001). Also, depression symptoms were risk factor for non-adherence (P < 0.050).CONCLUSION: This study suggests that active coping strategies with a good level of instrumental support are factors associated with greater adherence to long-term therapy. The results of this study support paying attention to factors identified as being helpful in monitoring patients with a risk of non-adherence. There is a need to provide increased psychosocial support for patients with chronic disease by planning effective client‐focused interventions

A Parallel Surrogate Model Assisted Evolutionary Algorithm for Electromagnetic Design Optimization

Optimization efficiency is a major challenge for electromagnetic (EM) device, circuit, and machine design. Although both surrogate model-assisted evolutionary algorithms (SAEAs) and parallel computing are playing important roles in addressing this challenge, there is little research that investigates their integration to benefit from both techniques. In this paper, a new method, called parallel SAEA for electromagnetic design (PSAED), is proposed. A state-of-the-art SAEA framework, surrogate model-aware evolutionary search, is used as the foundation of PSAED. Considering the landscape characteristics of EM design problems, three differential evolution mutation operators are selected and organized in a particular way. A new SAEA framework is then proposed to make use of the selected mutation operators in a parallel computing environment. PSAED is tested by a micromirror and a dielectric resonator antenna as well as four mathematical benchmark problems of various complexity. Comparisons with state-of-the-art methods verify the advantages of PSAED in terms of efficiency and optimization capacity

Joint use of eddy current imaging and fuzzy similarities to assess the integrity of steel plates

AbstractSteel plates bi-axially loaded are characterized by mechanical deformations whose 2D image representations are very difficult to achieve. In this work, the authors propose an innovative approach based on eddy current techniques for obtaining 2D electrical maps to assess the mechanical integrity of a steel plate. The procedure, also exploiting fuzzy similarity computations, translates the problem of the assessment of the mechanical integrity of a steel plate into a suitable classification problem. The results obtained by this proposed procedure show performances comparable to those provided by well-established soft computing approaches with a higher computational complexity

Efficient design optimization of high-performance MEMS based on a surrogate-assisted self-adaptive differential evolution

High-performance microelectromechanical systems (MEMS) are playing a critical role in modern engineering systems. Due to computationally expensive numerical analysis and stringent design specifications nowadays, both the optimization efficiency and quality of design solutions become challenges for available MEMS shape optimization methods. In this paper, a new method, called self-adaptive surrogate model-assisted differential evolution for MEMS optimization (ASDEMO), is presented to address these challenges. The main innovation of ASDEMO is a hybrid differential evolution mutation strategy combination and its self-adaptive adoption mechanism, which are proposed for online surrogate model-assisted MEMS optimization. The performance of ASDEMO is demonstrated by a high-performance electro-thermo-elastic micro-actuator, a high-performance corrugated membrane microactuator, and a highly multimodal mathematical benchmark problem. Comparisons with state-of-the-art methods verify the advantages of ASDEMO in terms of efficiency and optimization ability

Fasting glucose and body mass index as predictors of activity in breast cancer patients treated with everolimus-exemestane: the EverExt study

Evidence on everolimus in breast cancer has placed hyperglycemia among the most common high grade adverse events. Anthropometrics and biomarkers of glucose metabolism were investigated in a observational study of 102 postmenopausal, HR + HER2- metastatic breast cancer patients treated with everolimus-exemestane in first and subsequent lines. Best overall response (BR) and clinical benefit rate (CBR) were assessed across subgroups defined upon fasting glucose (FG) and body mass index (BMI). Survival was estimated by Kaplan-Meier method and log-rank test. Survival predictors were tested in Cox models. Median follow up was 12.4 months (1.0-41.0). The overall cohort showed increasing levels of FG and decreasing BMI (p < 0.001). Lower FG fasting glucose at BR was more commonly associated with C/PR or SD compared with PD (p < 0.001). We also observed a somewhat higher BMI associated with better response (p = 0.052). More patients in the lowest FG category achieved clinical benefit compared to the highest (p < 0.001), while no relevant differences emerged for BMI. Fasting glucose at re-assessment was also predictive of PFS (p = 0.037), as confirmed in models including BMI and line of therapy (p = 0.049). Treatment discontinuation was significantly associated with changes in FG (p = 0.014). Further research is warranted to corroborate these findings and clarify the underlying mechanisms

Effect of electrode distance in grid electrode: Numerical models and in vitro tests

Electrochemotherapy is an emerging local treatment for the management of superficial tumors and, among these, also chest wall recurrences from breast cancer. Generally, the treatment of this peculiar type of tumor requires the coverage of large skin areas. In these cases, electrochemotherapy treatment by means of standard small size needle electrodes (an array of 0.73 cm spaced needles, which covers an area of 1.5 cm2) is time-consuming and can allow an inhomogeneous coverage of the target area. We have previously designed grid devices suitable for treating an area ranging from 12 to 200 cm2. In this study, we propose different approaches to study advantages and drawbacks of a grid device with needles positioned 2 cm apart. The described approach includes a numerical evaluation to estimate electric field intensity, followed by an experimental quantification of electroporation on a cell culture. The electric field generated in a conductive medium has been studied by means of 3-dimensional numerical models with varying needle pair distance from 1 to 2 cm. In particular, the electric field evaluation shows that the electric field intensity with varying needle distance is comparable in the area in the middle of the 2 electrodes. Differently, near needles, the electric field intensity increases with the increasing electrode distance and supply voltage. The computational results have been correlated with experimental ones obtained in vitro on cell culture. In particular, electroporation effect has been assessed on human breast cancer cell line MCF7, cultured in monolayer. The use of 2-cm distant needles, supplied by 2000 V, produced an electroporation effect in the whole area comprised between the electrodes. Areas of cell culture where reversible and irreversible electroporation occurred were identified under microscope by using fluorescent dyes. The coupling of computation and experimental results could be helpful to evaluate the effect of the needle distance on the electric field intensity in cell cultures in terms of reversible or irreversible electroporation

The impact of the Hippo pathway and cell metabolism on pathological complete response in locally advanced Her2+ breast cancer: the TRISKELE multicenter prospective study

The Hippo pathway and its two key effectors, Yes-associated protein (YAP) and transcriptional coactivator with PDZ-binding motif (TAZ), are consistently altered in breast cancer. Pivotal regulators of cell metabolism such as the AMP-activated protein kinase (AMPK), Stearoyl-CoA-desaturase 1 (SCD1), and HMG-CoA reductase (HMGCR) are relevant modulators of TAZ/YAP activity. In this prospective study, we measured the tumor expression of TAZ, YAP, AMPK, SCD1, and HMGCR by immunohistochemistry in 65 Her2+ breast cancer patients who underwent trastuzumab-based neoadjuvant treatment. The aim of the study was to assess the impact of the immunohistochemical expression of the Hippo pathway transducers and cell metabolism regulators on pathological complete response. Low expression of cytoplasmic TAZ, both alone and in the context of a composite signature identified by machine learning including also low nuclear levels of YAP and HMGCR and high cytoplasmic levels of SCD1, was a predictor of residual disease in the univariate logistic regression. This finding was not confirmed in the multivariate model including estrogen receptor > 70% and body mass index > 20. However, our findings were concordant with overall survival data from the TCGA cohort. Our results, possibly affected by the relatively small sample size of this study population, deserve further investigation in adequately sized, ad hoc prospective studies