L'additive manufacturing nel planning pre-operatorio in chirurgia maxillofacciale

Il 3D printing è presente da tempo in molti settori economici e da sempre ha nella sanità uno dei principali ambiti di applicazione. Durante il corso del presente lavoro sono state esaminate le principali applicazioni in campo sanitario con particolare focus sulla fase di planning in caso di chirurgia complessa. La pianificazione risulta essere la fase maggiormente impattante nel contesto più globale di gestione del paziente in quanto una maggior accuratezza nella visualizzazione del caso clinico consente di ottimizzare l’identificazione di un adeguato approccio chirurgico con ovvie conseguenti ripercussioni positive sulla totalità della degenza del paziente all’interno della struttura clinica ospitante. Nel dettaglio è stato valutato l’utilizzo di un innovativo protocollo di pre-planning e follow-up operatorio tramite la realizzazione di modelli stampati 3D a partire da immagini di diagnostica classica (TAC, MRI, 3Dscan) che hanno consentito di poter fornire allo specialista clinico di riferimento un prodotto che riproducendo perfettamente l’anatomia del soggetto (morfologia-proprietà fisiche del tessuto) ha consentito allo stesso un miglioramento delle usuali pratiche chirurgiche e terapeutiche in casi di elevata complessità in un arco temporale ristretto. I parametri utilizzati per la valutazione dei reali benefici dell’approccio esposto sono stati: tempi di pianificazione chirurgica e tempi di intervento all’interno di una più globale analisi dei costi associati. A fronte di un’indagine interna preventiva presso l’azienda ospedaliera ospitante sono stati designati i seguenti reparti come settori pilota: maxillofacciale, neurochirurgia e radiologia interventistica. Lo studio è stato svolto in collaborazione con l’ospedale M.Bufalini di Cesena in qualità di referente clinico e l’azienda Aid4Med Srl in qualità di azienda leader in pianificazione operatoria tramite ausili realizzati tramite tecniche di additive manufacturing.

Mental rotation processes in mathematically gifted boys: An fMRI investigation

The functional brain organisation of mathematically gifted adolescents may be different from those of average mathematical ability. In this study we used fMRI to examine the neural circuitry that mediates the performance of mathematically gifted boys and average ability controls while engaged in mental rotation. Eight math gifted male adolescents and five average ability male adolescents were presented 18 control and 18 mental rotation trials in two separate blocks. Participants selected one of four test stimuli to match the target stimulus by pressing one of four fibreoptic buttons. The control task required a simple 'best match' for the target stimulus. EPI scans were acquired on a 3-T MR scanner and a fixed effects statistical analysis (SPM99) was used to identify areas of significant activation in the rotation tasks, for the two groups. The results indicate that during mental rotation both groups activate the parietal lobes bilaterally, though to different levels. Moreover, the math gifted are uniformly bilateral in their pattern of activation, and engage some anterior regions not found in those of average ability. These regions include bilateral prefrontal cortex and the right anterior cingulate, which may serve to heighten concentration, and to optimise the pre-planning of purposeful actions.

The role of temporary accommodation buildings for post-disaster housing reconstruction

The number of houses damaged or destroyed after disasters is frequently large, and re-housing of homeless people is one of the most important tasks of reconstruction programmes. Reconstruction works often last long and during that time, it is essential to provide victims with the minimum conditions to live with dignity, privacy, and protection. This research intends to demonstrate the crucial role of temporary accommodation buildings to provide spaces where people can live and gradually resume their life until they have a permanent house. The study also aims to identify the main problems of temporary accommodation strategies and to discuss some principles and guidelines in order to reach better design solutions. It is found that temporary accommodation is an issue that goes beyond the simple provision of buildings, since the whole space for temporary settlement is important. Likewise, temporary accommodation is a process that should start before a disaster occurs, as a preventive pre-planning. In spite of being temporary constructions, these housing buildings are one of the most important elements to provide in emergency scenarios, contributing for better recovery and reconstruction actions.

Ristikkotorniprojektin jälkiseuranta sekä valmistus-, kuljetus- ja asennusnäkökohdat massiivisen tornin suunnittelussa

Tässä työssä tutkittiin jälkiseurantana putkipalkkirakenteisen ristikkotornin rakennusprojektia. Tutkimuksen kohteena oli suomalaiselle öljynjalostamolle vuonna 1992 rakennettu vapaastiseisova 105 m korkea soihtutorni. Työn tarkoituksena oli tutkia teräsrakennekokonaisuutta toisaalta suunnittelun ja lujuuslaskennan, toisaalta valmistuksen, kuljetuksen ja asennuksen kannalta. Lisäksi työssä etsittiin soihtutornin vaihtoehtoisia rakenneratkaisuja. Esisuunnittelun tuloksena syntyneitä rakenteita verrattiin vuonna 1992 toteutettuun rakenteeseen. Toteutetun ristikkomaston lujuusominaisuuksia arvioitiin käymällä läpi tehdyt lujuuslaskelmat ja selvittämällä mm. rakenteen eri kohdista mitoituksen tasaisuus. Havaittiin, että rakenteen lujuuden käyttöaste vaihteli 0,7:n ja 0,9:n välillä 72 m:n korkeuteen asti. Tästä ylöspäin käyttöasteet olivat pienempiä. Konepajavalmistuksen, kuljetusten ja asennustöiden onnistumista tutkittiin haastattelemalla sekä konepajan että tilaajan edustajia. Ylöspäin kapeneva rakenne osoittautui lujuusopillisesti järkeväksi, mutta valmistusteknisesti vanhanaikaiseksi. Massiivisten ristikkotornien kuljetus- ja nostomahdollisuuksia tutkittiin selvittämällä lainsäädännön asettamat rajoitukset ja käsikirjojen antamat ohjeet. Lisäksi haastateltiin erikoiskuljetuksia ja -nostoja suorittavan yrityksen edustajaa. Uusien rakenneratkaisujen suunnittelussa korostettiin pitkälle vietyä osavalmistusta sekä kuljetus- ja nostomahdollisuuksia. Uusista tornivaihtoehdoista tutkittiin tarkemmin massiivisista pyöreistä putkipalkeista tehty torni, joka on rakenteeltaan Vierendeel-kehän sovellutus. Rakenne on 62 % painavampi kuin vuonna 1992 toteutettu soihtutorni, mutta silti 9 % halvempi. Uuden rakenteen valmistusystävällisyys on merkittävästi parempi kuin vanhan.

The economics of chemical industry in kerala

The main purpose of the present study is to examine the growth and development problems of a new industry ,the chemical industry in the state of kerala. Problems of productivity and efficiency are studied with respect to the different branches of the industry such as fertilizers and insecticides basic inorganic and organic chemicals drugs and pharmaceuticals and miscellaneous chemicals. A study of partial input output linkages between the different chemical units is also attempted. The chemical industry is generally characterized by high linkage effects .These linkages could be used to generate subsidiary industries and thereby help in the growth and diversification of the industry. The efficiency of the working of individual units is also studied to understand the problems involved and to suggest remedial measures.

Safe Distributed Coordination of Heterogeneous Robots through Dynamic Simple Temporal Networks

Research on autonomous intelligent systems has focused on how robots can robustly carry out missions in uncertain and harsh environments with very little or no human intervention. Robotic execution languages such as RAPs, ESL, and TDL improve robustness by managing functionally redundant procedures for achieving goals. The model-based programming approach extends this by guaranteeing correctness of execution through pre-planning of non-deterministic timed threads of activities. Executing model-based programs effectively on distributed autonomous platforms requires distributing this pre-planning process. This thesis presents a distributed planner for modelbased programs whose planning and execution is distributed among agents with widely varying levels of processor power and memory resources. We make two key contributions. First, we reformulate a model-based program, which describes cooperative activities, into a hierarchical dynamic simple temporal network. This enables efficient distributed coordination of robots and supports deployment on heterogeneous robots. Second, we introduce a distributed temporal planner, called DTP, which solves hierarchical dynamic simple temporal networks with the assistance of the distributed Bellman-Ford shortest path algorithm. The implementation of DTP has been demonstrated successfully on a wide range of randomly generated examples and on a pursuer-evader challenge problem in simulation.

Registration and fusion of contrast-enhanced MRI myocardial substrate maps and X-ray angiograms

The aim of this work is to provide the necessary methods to register and fuse the endo-epicardial signal intensity (SI) maps extracted from contrast-enhanced magnetic resonance imaging (ceMRI) with X-ray coronary ngiograms using an intrinsic registrationbased algorithm to help pre-planning and guidance of catheterization procedures. Fusion of angiograms with SI maps was treated as a 2D-3D pose estimation, where each image point is projected to a Plücker line, and the screw representation for rigid motions is minimized using a gradient descent method. The resultant transformation is applied to the SI map that is then projected and fused on each angiogram. The proposed method was tested in clinical datasets from 6 patients with prior myocardial infarction. The registration procedure is optionally combined with an iterative closest point algorithm (ICP) that aligns the ventricular contours segmented from two ventriculograms.

Development of an odor management plan for industrial stationary sources in an urban environment: A case study for Broward County, Florida

Objectionable odors remain at the top of air pollution complaints in urban areas such as Broward County that is subject to increasing residential and industrial developments. The odor complaints in Broward County escalated by 150 percent for the 2001 to 2004 period although the population increased by only 6 percent. It is estimated that in 2010 the population will increase to 2.5 million. Relying solely on enforcing the local odor ordinance is evidently not sufficient to manage the escalating odor complaint trends. An alternate approach similar to odor management plans (OMPs) that are successful in managing major malodor sources such as animal farms is required. ^ This study aims to develop and determine the feasibility of implementing a comprehensive odor management plan (COMP) for the entire Broward County. Unlike existing OMPs for single sources where the receptors (i.e. the complainants) are located beyond the boundary of the source, the COMP addresses a complex model of multiple sources and receptors coexisting within the boundary of the entire county. Each receptor is potentially subjected to malodor emissions from multiple sources within the county. Also, the quantity and quality of the source/receptor variables are continuously changing. ^ The results of this study show that it is feasible to develop a COMP that adopts a systematic procedure to: (1) Generate maps of existing odor complaint areas and malodor sources, (2) Identify potential odor sources (target sources) responsible for existing odor complaints, (3) Identify possible odor control strategies for target sources, (4) Determine the criteria for implementing odor control strategies, (5) Develop an odor complaint response protocol, and (6) Conduct odor impact analyses for new sources to prevent future odor related issues. Geographic Information System (GIS) is used to identify existing complaint areas. A COMP software that incorporates existing United States Environmental Protection Agency (EPA) air dispersion software is developed to determine the target sources, predict the likelihood of new complaints, and conduct odor impact analysis. The odor response protocol requires pre-planning field investigations and conducting surveys to optimize the local agency available resources while protecting the citizen's welfare, as required by the Clean Air Act. ^

Baseline analysis of the existing capacities and needs for capacity building for Marine Strategy Framework Directive implementation in the Celtic Seas sub-region.

This report evaluates the existing situation in the Celtic Seas sub-region and determines the current state of preparedness for transboundary management of marine ecosystems and MSFD implementation. Recommendations for capacity building are provided through the analysis of the existing conflicts and potential synergies between relevant policies, institutions and information resources for MSFD implementation across the region. This report strives to empower stakeholders through the provision of a sound baseline with accurate and up-to-date information on the current status of MSFD implementation, potential opportunities and suggested approaches for building capacities in their region and across the Celtic Seas. It is evident that there are a number of national marine planning processes currently underway and at different stages throughout the United Kingdom and the pre-planning context for MSP in Ireland. On a similar note, this evaluation of MSFD implementation progress to-date in the United Kingdom, Ireland and France highlights that each Member State has implemented the legal and procedural requirements of preparatory steps in differing manners and using different time scales. This variance across the sub-region has the potential to impact the achievement of GES by 2020 across the Celtic Seas.

Planificación previa para proyectos de conglomeraciones industriales = Pre-project planning for industrial estates = Planification préalable à l'élaboration de projets de domaines industriels

Incluye Bibliografía