1,204 research outputs found
Flow resistance law in channels with fully submerged and rigid vegetation
The estimate of flow resistance in vegetated channels is a challenging topic for programming riparian vegetation management, controlling channel conveyance and flooding propensity, for designing soil bioengineering practices. In this paper, measurements collected by Gualtieri et al. (2018), in a flume where rigid cylinders were set in two arrangements (staggered, aligned) at high submergence ratios (ratio between the water depth and the vegetation height greater than 5), were used to study the effect of rigid submerged vegetation on estimating flow resistance. The theoretical flow resistance equation, obtained by integrating the power flow velocity distribution, was first summarized. Then, this flow resistance equation was calibrated and tested by measurements of Gualtieri et al. (2018). In particular, a relationship between the Γ function of the power velocity distribution, the channel slope, the flow Froude number, and the submergence ratio was established by using the available measurements carried out for the two arrangements with different stem concentrations. The calibration of this relationship was carried out by (i) distinguishing measurements corresponding to different vegetation arrangements (staggered, aligned), (ii) joining all available data, and (iii) using only a scale factor representing the effect of vegetation arrangements. For the cases (ii) and (iii), the analysis demonstrated that the theoretical flow resistance equation allows an accurate estimate of the Darcy–Weisbach friction factor, which is characterized by errors that are always less than 5% and less than or equal to 2.5% for 88% of the investigated cases
La grande scommessa. Turismo e pandemia a Firenze.
This paper is centred on the analysis of some recent developments of the touristic system in the italian city of Firenze. The COVID-19 pandemic hit hard the urban economic system of the city, which is increasingly dependent on tourism. We analyze how the pandemic has been exploited by some local actors to develop their own narrative of the touristic future of the city, in light of a rebranding attempt meant to position it as an «elite» touristic destination. We explore the contradictions between different ideas of how tourism should affect the urban fabric
Interest Rate Risk and Monetary Policy Normalisation in the Euro Area
In the current low interest rate environment in the euro area there is potential for a sudden increase in interest rates and heightened interest rate risk (IRR). By using a sample of 81 euro area banks during the period 2014Q4-2018Q1 and a confidential supervisory measure of IRR, this paper identifies which bank-specific characteristics can amplify or weaken the impact of a 200 basis points positive shock in interest rates. We find that banks reliant on core deposits, that hold more floating-interest rate loans and that diversify their lending, either by sector or geography, are less exposed to a positive change in interest rates. Interestingly, we discover that banks that did not exploit the exceptional financing provided by the European Central Bank (ECB) reveal greater IRR exposure. These findings advance the debate on the impact on euro area banking of a possible return to a normalised monetary policy
Methylene blue-containing liposomes as new photodynamic anti-bacterial agents
Novel cationic liposomes containing the photo-activatable drug methylene blue (MB) strongly enhance the antibacterial activity of MB towards Gram-negative bacteria and improve biofilm penetration.</p
Improving the Integration between Palliative Radiotherapy and Supportive Care: A Narrative Review
Palliative radiotherapy (PRT) is known to be effective in relieving cancer related symptoms. However, many studies and clinical practice show several barriers hindering its use and worsening the quality of patient support during PRT. Various solutions were proposed to overcome these barriers: training on PRT for supportive and palliative care specialists and training on palliative care for radiation oncologists, and introduction of pathways and organizational models specifically dedicated to PRT. Evidence on innovative organizational models and mutual training experiences is few and sparse. Therefore, the aim of this literature review is to present a quick summary of the information available on improving the PRT quality through training, new pathways, and innovative organizational models. The majority of studies on the integration of PRT with other palliative and supportive therapies present low levels of evidence being mostly retrospective analyses. However, it should be emphasized that all reports uniformly showed advantages coming from the integration of PRT with supportive therapies. To actively participate in the integration of PRT and palliative care, providing comprehensive support to the needs of patients with advanced cancer, radiation oncologists should not only plan PRT but also: (i) assess and manage symptoms and stress, (ii) rapidly refer patients to specialists in management of more complex symptoms, and (iii) participate in multidisciplinary palliative care teams. To this end, improved education in palliative care both in residency schools and during professional life through continuous medical education is clearly needed. In particular, effective training is needed for radiotherapy residents to enable them to provide patients with comprehensive palliative care. Therefore, formal teaching of adequate duration, interactive teaching methods, attendance in palliative care services, and education in advanced palliative care should be planned in post-graduated schools of radiotherapy
Short course palliative radiotherapy in advanced solid tumors: a pooled analysis (the SHARON project)
Previous trials showed the tolerability and efficacy of a palliative radiotherapy (RT) regimen (SHARON) based on the 4 fractions delivered in 2 days in different oncological settings. In order to identify possible predictors of symptomatic response, the purpose of this study is to perform a pooled analysis of previous trials. We analyzed the impact on symptomatic response of the following parameters: tumor site, histological type, performance status (ECOG), dominant symptom, and RT dose using the Chi-square test and Fisher's exact test. One-hundred-eighty patients were analyzed. Median RT dose was 20 Gy (range: 14-20 Gy). The overall response rate was 88.8% (95% CI 83.3-92.7%) while pre- and post-treatment mean VAS was 5.3 (+/- 7.7) and 2.2 (+/- 2.2), respectively (p < 0.001). The overall response rate of pain, dyspnea, bleeding, dysphagia, and other symptoms was 86.2%, 90.9%, 100%, 87.5%, and 100%, respectively. Comparing the symptomatic effect based on the analyzed parameters no significant differences were recorded. However, patients with locally advanced disease showed a higher rate of symptomatic responses than metastatic ones (97.3% vs 83.0%; p = 0.021). Finally, the complete pain response rate was more than double in patients with mild to moderate (VAS: 4-7) compared to those with severe (VAS > 7) pain (36.0% vs 14.3%; p = 0.028). This pooled analysis showed high efficacy of the SHARON regimen in the relief of several cancer-related symptoms. The markedly and significantly higher complete pain response rate, in patients with mild-moderate pain, suggests early referral to palliative RT for patients with cancer-related pain
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