The Nuss procedure made safer: an effective and simple sternal elevation manoeuvre

The Nuss procedure requires the creation of a substernal tunnel for bar positioning. This is a manoeuvre that can be dangerous, and cardiac perforation has occurred in a few cases. Our purpose was to describe two technical modifications that enable the prevention of these fatal complications. A series of 25 patients with pectus excavatum were treated with a modification of the Nuss procedure that included the entrance in the left haemithorax first, and the use of the retractor to lift the sternum, with the consequent lowering displacement of the heart. These modified techniques have certain advantages: (i) the narrow anterior mediastinum between the sternum and the pericardial sac is expanded by pulling up the sternum; (ii) the thoracoscopic visualization of the tip of the introducer during tunnel creation is improved; (iii) the rubbing of the introducer against the pericardium is minimized; (iv) the exit path of the introducer can be guided by the surgeon's finger and (v) haemostasis and integrity of the pericardial sac can be more easily confirmed. We observed that with these manoeuvres, the risk of pericardial sac and cardiac injury can be markedly reduced.

Lyotropic mixture made of potassium laurate/1-undecanol/K2SO4/water presenting high birefringences and large biaxial nematic phase domain: a laser conoscopy study

The lyotropic liquid crystalline quaternary mixture made of potassium laurate (KL), potassium sulphate, 1-undecanol and water was investigated by experimental optical methods (optical microscopy and laser conoscopy). In a particular temperature and relative concentrations range, the three nematic phases (two uniaxial and one biaxial) were identified. The biaxial domain in the temperature/KL concentration surface is larger when compared to other lyotropic mixtures. Moreover, this new mixture gives nematic phases with higher birefringence than similar systems. The behavior of the symmetric tensor order parameter invariants sigma(3) and sigma(2) calculated from the measured optical birefringences supports that the uniaxial-to-biaxial transitions are of second order, described by a mean-field theory.

Photo-activated phase separation in giant vesicles made from different lipid mixtures

Using giant unilamellar vesicles (GUVs) made from POPC. DPPC, cholesterol and a small amount of a porphyrin-based photosensitizer that we name PE-porph, we investigated the response of the lipid bilayer under visible light, focusing in the formation of domains during the lipid oxidation induced by singlet oxygen. This reactive species is generated by light excitation of PE-porf in the vicinity of the membrane, and thus promotes formation of hydroperoxides when unsaturated lipids and cholesterol are present. Using optical microscopy we determined the lipid compositions under which GUVs initially in the homogeneous phase displayed Lo-Ld phase separation following irradiation. Such an effect is attributed to the in situ formation of both hydroperoxized POPC and cholesterol. The boundary line separating homogeneous Lo phase and phase coexistence regions in the phase diagram is displaced vertically towards the higher cholesterol content in respect to ternary diagram of POPC:DPPC:cholesterol mixtures in the absence of oxidized species. Phase separated domains emerge from sub-micrometer initial sizes to evolve over hours into large Lo-Ld domains completely separated in the lipid membrane. This study provides not only a new tool to explore the kinetics of domain formation in mixtures of lipid membranes, but may also have implications in biological signaling of redox misbalance. (C) 2011 Elsevier B.V. All rights reserved.

Performance estimation for concretes made with recycled aggregates of construction and demolition waste of some Brazilian cities

The aim of this paper is to verify the influence of composition variability of recycled aggregates (RA) of construction and demolition wastes (CDW) on the performance of concretes. Performance was evaluated building mathematical models for compressive strength, modulus of elasticity and drying shrinkage. To obtain such models, an experimental program comprising 50 concrete mixtures was carried out. Specimens were casted, tested and results for compressive strength, modulus of elasticity and drying shrinkage were statistically analyzed. Models inputs are CDW composition observed at seven Brazilian cities. Results confirm that using RA from CDW for concrete building is quite feasible, independently of its composition, once compressive strength and modulus of elasticity still reached considerable values. We concluded the variability presented by recycled aggregates of CDW does not compromise their use for concrete building. However, this information must be used with caution, and experimental tests should always be performed to certify concrete properties.

Photoluminescence of core-shell nanoparticles made from yttrium stabilized zirconia powder grain coated with alumina

A YSZ@Al2O3 nanocomposite was obtained by Al2O3 coating on the surface of yttrium stabilized zirconia via a polymeric precursor method. The resulting core–shell structures were characterized by X-ray diffraction, scanning electron microscopy, transmission electronic microscopy and PL spectra. The TEM micrographs clearly show a homogeneous Al2O3 shell around the ZrO2 core. The observed PL is related to surface–interface defects. Such novel technologies can, in principle, explore materials which are not available in the bulk single crystal form but their figure-of-merit is dramatically dependent on the surface–interface defect states.

Photocatalytic hydrogen production by water splitting over Au-TiO2 commercial and home-made photocatalysts

[ES]Póster presentado en 3rd European Conference on Environmental Applications of Advanced Oxidation Processes.

El contenido del póster corresponde a parte del trabajo de tesis doctoral de la Dra. Cristina Rodríguez López.

Synthesis and characterization of implants for bone substitutions made of biomedical apatites containing silicon

In the last decades the development of bone substitutes characterized by a superior biomimetism has become of particular interest, owing to the increasing economic and societal impact of the bone diseases. In the present work of research the development of bone substitutes characterized by improved biomimetism, has been faced in a chemical, structural and morphological perspective. From a chemical point of view, it has been developed the synthesis of hydroxyapatite powders, exhibiting multiple ionic substitutions in both cationic and anionic sites, so to simulate the chemical composition of the natural bone. Particular emphasis has been given to the effect of silicon on the chemical-physical and solubility properties of the obtained hydroxyapatites. From a structural point of view, it has been developed the synthesis of ceramic composite materials, based on hydroxyapatite and calcium silicates, employed both as a reinforcing phase, to raise the mechanical strength of the composite compared to hydroxyapatite, and as a bioactive phase, able to increase the bioactivity properties of the whole ceramic. Finally the unique morphological features of the bone were mimicked by taking inspiration by Nature, so that native wood structures were treated in chemical and thermal way to obtain hydroxyapatite porous materials characterized by the same morphology as the native wood. The results obtained in the present work were positive in all the three different areas of investigation, so to cover the three different aspects of biomimetism, chemical, structural and morphological. Anyway, only at the convergence of the three different fields it is possible to find out the best solutions to develop the ideal bone-like scaffold. Thus, the future activity should be devoted to solve the problems at the borderline between the different research lines, which hamper this convergence and in consequence, the achievement of a bone scaffold able to mimic the various aspects exhibited by the bone tissue

New lightweight optimization method applied in parts made by selective laser sintering and polyjet technologies

[EN]The continuous evolution of materials and technologies of Additive Manufacturing (AM) has led to a competitive production process even for functional parts. The capabilities of these technologies for manufacturing complex geometries allow the definition of new designs that cannot be obtained with any other manufacturing processes. An application where this capability can be exploited is the lightening of parts using internal structures. This allows to obtain more efficient parts and, at the same time, reduce the costs of material and manufacturing time. A new lightweight optimization method to optimize the design of these structures and minimize weight while keeping the minimal mechanical properties is presented in this paper.

Enabling a direct path from end-user specifications to executable protocols in a biology laboratory environment

Biomedical analyses are becoming increasingly complex, with respect to both the type of the data to be produced and the procedures to be executed. This trend is expected to continue in the future. The development of information and protocol management systems that can sustain this challenge is therefore becoming an essential enabling factor for all actors in the field. The use of custom-built solutions that require the biology domain expert to acquire or procure software engineering expertise in the development of the laboratory infrastructure is not fully satisfactory because it incurs undesirable mutual knowledge dependencies between the two camps. We propose instead an infrastructure concept that enables the domain experts to express laboratory protocols using proper domain knowledge, free from the incidence and mediation of the software implementation artefacts. In the system that we propose this is made possible by basing the modelling language on an authoritative domain specific ontology and then using modern model-driven architecture technology to transform the user models in software artefacts ready for execution in a multi-agent based execution platform specialized for biomedical laboratories.

Resa diagnostica di anamnesi, EEG intercritico ed home-made video negli episodi parossistici notturni: confronto con la VEPSG

Poiché la diagnosi differenziale degli episodi parossistici notturni è affidata alla VEPSG, tenendo conto dei limiti di tale metodica, il progetto attuale ha lo scopo di definire la resa diagnostica di strumenti alternativi alla VEPSG: anamnesi, home-made video ed EEG intercritico. Sono stati reclutati consecutivamente 13 pazienti, afferiti al nostro Dipartimento per episodi parossistici notturni. Ciascun paziente è stato sottoposto ad un protocollo diagnostico standardizzato. A 5 Medici Esperti in Epilessia e Medicina del Sonno è stato chiesto di formulare un orientamento diagnostico sulla base di anamnesi, EEG intercritico, home-made video e VEPSG. Attraverso l’elaborazione degli orientamenti diagnostici è stata calcolata la resa diagnostica delle procedure esaminate, a confronto con la VEPSG, attraverso il concetto di “accuratezza diagnostica”. Per 6 pazienti è stato possibile porre una diagnosi di Epilessia Frontale Notturna, per 2 di parasonnia, in 5 la diagnosi è rimasta dubbia. L’accuratezza diagnostica di ciascuna procedura è risultata moderata, con lievi differenze tra le diverse procedure (61.5% anamnesi; 66% home-made video; 69,2 % EEG intercritico). E’ essenziale migliorare ulteriormente l’accuratezza diagnostica di anamnesi, EEG intercritico ed home-made video, che possono risultare cruciali nei casi in cui la diagnosi non è certa o quando la VEPSG non è disponibile.

Biomimetic bilayer membranes made from polymers and lipids

Amphiphile Blockcopolymere sind in der Lage in Wasser Morphologien auszubilden, die analog sind zur hydrophil-hydrophob-hydrophil-Struktur von natürlichen Lipiddoppelschichten. In dieser Arbeit wird zum ersten Mal die Präparation und Charakterisierung von oberflächengestützten Polymerdoppelschichten aus Polybutadien-b-Polyethylenoxid (PB-PEO) beschrieben. Für die Herstellung dieser Strukturen wurden zwei unterschiedliche Präparationsstrategien verfolgt. Der erste Weg besteht aus einer zweistufigen Methode, bei der im ersten Schritt organisierte Monoschichten mittels Langmuir-Blodgett-Transfer auf Gold übertragen und kovalent angebunden werden. Im zweiten Schritt werden hydrophobe Wechselwirkungen ausgenutzt, um über Langmuir-Schaefer-Transfer eine weitere Schicht aufzubringen. Somit wurden homogene Architekturen erzeugt, die oberflächengestützten Lipiddoppelschichten gleichen. Als alternativer, einstufiger Ansatz zur Herstellung von Polymerdoppelschichten wurde das Spreiten von Polymervesikeln auf Gold verfolgt. Auch hierdurch ließen sich Doppelschichtstrukturen mit einer vollständigen Oberflächenbedeckung erzeugen. Die hergestellten Polymerdoppelschichten besitzen eine Dicke von 11-14 nm, die von der Präparationsmethode abhängt. Die Polymerstrukturen weisen bei Trocknung für 1.5 h eine Stabilität gegenüber Luft auf. Bei längeren Trocknungszeiten von ca. 12 h kommt es zu einer Reorganisation der Oberfläche. Dies deutet darauf hin, dass Wasser dazu notwendig ist die Strukturen auf lange Sicht zu stabilisieren. Um die Biokompatibilität der Polymerschichten nachzuweisen, wurden die Wechselwirkungen mit dem membranaktiven Peptid Polymyxin B und dem Transmembranprotein α-Haemolysin gezeigt. Mobilität ist ein wichtiger Faktor für die korrekte Funktion vieler Transmembranproteine. Um die laterale Diffusionsdynamik innerhalb der künstlichen Strukturen zu untersuchen, wurde die Mobilität eines integralen Modellpeptids und von fluoreszierenden Membransonden gemessen. Es konnte mit einzelmolekülempfindlichen Techniken gezeigt werden, dass das α-helikale Peptid und die kleinen Fluoreszenzfarbstoffe frei im hydrophoben Kern der Polymerdoppelschicht diffundieren können. Die Diffusion von beiden Spezies scheint stark von der Fluidität der Polymermatrix beeinflusst zu sein. Ein weiterer Teil dieser Arbeit widmet sich der Entwicklung eines angemessenen, lipidbasierten Referenzsystems für zukünftige Proteinuntersuchungen. Hierzu wurde eine neue Methode zu Herstellung von peptidgestützten Lipiddoppelschichtmembranen entwickelt. Dies wurde durch kovalente Befestigung eines Thiopeptids an einen Goldfilm und darauffolgende Anbindung eines Lipids erreicht. Zur Ausbildung der Lipiddoppelschicht auf dem Lipopeptidunterbau wurder der Rapid Solvent Exchange verwendet. Die Ausbildung der Lipiddoppelschicht wurde sowohl auf microskopischer als auch auf makroskopischer Ebene nachgewiesen. Im letzten Schritt wurde die Anwendbarkeit des Modelsystems für elektrochemische Messungen durch den funktionalen Einbau des Ionentransporters Valinomycin unter Beweis gestellt.

A multi-objective genetic algorithm optimisation using variable speed pumps in water distribution systems

Due to its practical importance and inherent complexity, the optimisation of distribution networks for supplying drinking water has been the subject of extensive study for the past 30 years. The optimization is governed by sizing the pipes in the water distribution network (WDN) and / or optimises specific parts of the network such as pumps, tanks etc. or try to analyse and optimise the reliability of a WDN. In this thesis, the author has analysed two different WDNs (Anytown City and Cabrera city networks), trying to solve and optimise a multi-objective optimisation problem (MOOP). The main two objectives in both cases were the minimisation of Energy Cost (€) or Energy consumption (kWh), along with the total Number of pump switches (TNps) during a day. For this purpose, a decision support system generator for Multi-objective optimisation used. Its name is GANetXL and has been developed by the Center of Water System in the University of Exeter. GANetXL, works by calling the EPANET hydraulic solver, each time a hydraulic analysis has been fulfilled. The main algorithm used, was a second-generation algorithm for multi-objective optimisation called NSGA_II that gave us the Pareto fronts of each configuration. The first experiment that has been carried out was the network of Anytown city. It is a big network with a pump station of four fixed speed parallel pumps that are boosting the water dynamics. The main intervention was to change these pumps to new Variable speed driven pumps (VSDPs), by installing inverters capable to diverse their velocity during the day. Hence, it’s been achieved great Energy and cost savings along with minimisation in the number of pump switches. The results of the research are thoroughly illustrated in chapter 7, with comments and a variety of graphs and different configurations. The second experiment was about the network of Cabrera city. The smaller WDN had a unique FS pump in the system. The problem was the same as far as the optimisation process was concerned, thus, the minimisation of the energy consumption and in parallel the minimisation of TNps. The same optimisation tool has been used (GANetXL).The main scope was to carry out several and different experiments regarding a vast variety of configurations, using different pump (but this time keeping the FS mode), different tank levels, different pipe diameters and different emitters coefficient. All these different modes came up with a large number of results that were compared in the chapter 8. Concluding, it should be said that the optimisation of WDNs is a very interested field that has a vast space of options to deal with. This includes a large number of algorithms to choose from, different techniques and configurations to be made and different support system generators. The researcher has to be ready to “roam” between these choices, till a satisfactory result will convince him/her that has reached a good optimisation point.

L'ethos del marchio "Barilla" nella comunicazione pubblicitaria francese: Un modello di valorizzazione del made in Italy.

L’elaborato propone un’analisi dettagliata della configurazione del discorso pubblicitario, inteso come il risultato di una duplice operazione: quella di produzione del messaggio, a opera del pubblicitario, utente di precise strategie discorsive, e quella di interpretazione, da parte del destinatario che completa il significato dell’enunciato attribuendogli le proprie peculiari connotazioni. Il corpus utilizzato consiste in una raccolta di spot pubblicitari prodotti dall’azienda Barilla per i telespettatori francofoni, ed è stato reperito presso l’Archivio Storico di Barilla nella sede di Parma. L’illustrazione e la descrizione di alcune pubblicità scelte come modelli forniscono la base per l’approfondimento di alcune problematiche linguistiche e traduttologiche; in particolare, viene posto l’accento sulla nozione di ethos discorsivo, collocabile nell'ambito dell’analisi del discorso, e su quella di stereotipo linguistico, considerato come veicolo culturale e strumento dotato di straordinaria forza assertiva e pertanto prediletto dalla comunicazione pubblicitaria. Tale forma di linguaggio merita di essere analizzata e studiata nella sua ricca complessità, dal momento che è da considerarsi come il più efficace e moderno mezzo di diffusione, incorporazione e assimilazione di valori e comportamenti culturalmente orientati.

Definition of Food Safety Criteria for Bacteria Food-Borne Pathogens in Ready to Eat products

The aims of this research study is to explore the opportunity to set up Performance Objectives (POs) parameters for specific risks in RTE products to propose for food industries and food authorities. In fact, even if microbiological criteria for Salmonella and Listeria monocytogenes Ready-to-Eat (RTE) products are included in the European Regulation, these parameters are not risk based and no microbiological criteria for Bacillus cereus in RTE products is present. For these reasons the behaviour of Salmonella enterica in RTE mixed salad, the microbiological characteristics in RTE spelt salad, and the definition of POs for Bacillus cereus and Listeria monocytogenes in RTE spelt salad has been assessed. Based on the data produced can be drawn the following conclusions: 1. A rapid growth of Salmonella enterica may occurr in mixed ingredient salads, and strict temperature control during the production chain of the product is critical. 2. Spelt salad is characterized by the presence of high number of Lactic Acid Bacteria. Listeria spp. and Enterobacteriaceae, on the contrary, did not grow during the shlef life, probably due to the relevant metabolic activity of LAB. 3. The use of spelt and cheese compliant with the suggested POs might significantly reduce the incidence of foodborne intoxications due to Bacillus cereus and Listeria monocytogenes and the proportions of recalls, causing huge economic losses for food companies commercializing RTE products. 4. The approach to calculate the POs values and reported in my work can be easily adapted to different food/risk combination as well as to any changes in the formulation of the same food products. 5. The optimized sampling plans in term of number of samples to collect can be derive in order to verify the compliance to POs values selected.