Medical knowledge management for specific hospital departments

Medical knowledge representation and management is concerned with how to organise the often vague clinical experience of medical staff required for computable models. However, few knowledge management and acquisition tools have entered routine use, since such tools are not perceived by physicians as part of the clinical information process. An attempt to partially solve this problem, we identify two key aspects of knowledge representation and management tasks. The first is to adopt a medical knowledge standardisation to provide a consistent terminology control and to simplify the integration between knowledge management tools and the health information system. The second is to establish an effective knowledge acquisition process in specific medical fields by adapting knowledge acquisition tools. Therefore, the main goal of this work is to define computational models and to design mechanisms for the effective acquisition and management of medical knowledge in real-life hospital departments. To this end, we analyse the representation of medical knowledge (based on deep-causal models) and the development of knowledge management tools (based on ontologies), integrated within the information processing activities of the clinical user. Finally, we illustrate its applicability in the Intensive Care Unit and Pediatry scenarios.     

Correlation Between Chemical Composition and Adherence of Cr and Co Coatings Deposited by Electric Arc

This paper presents the adhesive strength of FeCr and FeCoCr coatings produced by electric arc thermal spray process on carbon steel plates. Carbon steels are not resistant to corrosion and several methods are used in surface engineering to protect them from aggressive environments such as the marine one. The main objective of this work is the evaluation of the mechanical and metallurgical properties of coatings produced by thermal spray on carbon steel. Five chemical compositions were tested in order to give a large panel of possibility. Coatings were characterized by several methods to result in a screening of performance. The physical properties of coatings were also evaluated by adhesion quantification, using pull-off test, and microhardness measurement. The assessment of microstructural morphology by X-ray diffraction (XRD) and scanning electron microscopy (SEM) was made. The open circuit potential was monitored to evaluate the corrosion tendency. SEM results showed uniformity in the deposited layer and low amount of oxide and porosity. The adhesive strength of FeCoCr alloy coatings was higher than other coating conditions. In the immersion test, all sealed conditions presented high corrosion potential. Semi-quantitative phase calculation was performed by the Rietveld method using XRD. The presence of FeCr, FeCo, and austenite phases was determined. Based on the performed characterizations, the findings suggested that the FeCrCo deposition, with an epoxy sealing, is suitable to be used as an efficient coating of carbon steel in aggressive corrosive environments.     

Investigation of cure kinetics in epoxy/multiwalled carbon nanotube nanocomposites

With the increased interest in thermoset resin nanocomposites, it is important to understand the effects of the material on nanoscale characteristics. In this study, a curing reaction of an epoxy resin, which contained 0.25, 0.50, or 1.00 wt % of multiwalled carbon nanotubes (MWCNTs), at different heating rates was monitored by differential scanning calorimetry; cure kinetics were also evaluated to establish a relationship between crosslinking (network formation) and mechanical properties. MWCNT concentrations above 0.25 wt % favored crosslinking formation and decreased the activation energy (E_a) in the curing reaction. Examination of the kinetic mechanism suggests that the MWCNT locally restricted the spatial volume and favored the formation of nodular morphology in the resin, especially for high MWCNT concentrations. The MWCNT exhibited some entanglement in the matrix, which hindered a more pronounced effect on the mechanical properties. © 2013 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2014 , 131, 39857.     

Modelling the effect of strain rate on the thermomechanical behaviour of AISI 304 stainless steel

The present work deals with the interdependences between the strain rate and the strain hardening on stainless austenitic steels. Uniaxial tension tests were conducted on a 304 stainless steel at different strain rates in order to analyse the influence of this parameter on the strain hardening and on the material formability. For the strain rates levels analysed (10^‐4 to 10^‐1 s^‐1) it was also observed that increasing the strain rate from 10^‐4 up to 10^‐1 s^‐1 leads to a 25 % difference in uniform tension elongation revealing the curve‐crossing phenomenon. Namely, strain rates equal or higher than 10^‐2 lead to a stagnation of strain hardening after a tensile strain of about 0.2. In order to investigate the results obtained, microstructural and thermal analyses were conducted and numerical simulations were performed. It was observed that the decreasing of formability of the material is essentially due to thermal aspects. In the discussion, the experimental and numerical results are analysed in terms of thermal softening, phase transformation and strain rate sensibility.     

A new algorithm to compute conjectured supply function equilibrium in electricity markets

Several types of market equilibria approaches, such as Cournot, Conjectural Variation (CVE), Supply Function (SFE) or Conjectured Supply Function (CSFE) have been used to model electricity markets for the medium and long term. Among them, CSFE has been proposed as a generalization of the classic Cournot. It computes the equilibrium considering the reaction of the competitors against changes in their strategy, combining several characteristics of both CVE and SFE. Unlike linear SFE approaches, strategies are linearized only at the equilibrium point, using their first-order Taylor approximation. But to solve CSFE, the slope or the intercept of the linear approximations must be given, which has been proved to be very restrictive.This paper proposes a new algorithm to compute CSFE. Unlike previous approaches, the main contribution is that the competitors’ strategies for each generator are initially unknown (both slope and intercept) and endogenously computed by this new iterative algorithm.To show the applicability of the proposed approach, it has been applied to several case examples where its qualitative behavior has been analyzed in detail.     

<Emphasis Type="Italic">trans</Emphasis>-Fatty Acid Isomers in Adipose Tissue Have Divergent Associations with Adiposity in Humans

The aim of this study was to evaluate the association between adipose tissue trans-fatty acid isomers and adiposity. This cross-sectional study included 1,785 subjects from Costa Rica. Fatty acid concentrations (as a percentage of the total fatty acids) in subcutaneous adipose tissue were assessed by gas–liquid chromatography. Dietary intakes were assessed with a food frequency questionnaire. Multivariate linear regression models were used to relate adipose tissue trans-fatty acid content to BMI, waist circumference, and skinfold thickness while adjusting for age, sex, and area of residence. To account for variations in lifestyle, we adjusted for smoking, physical activity, income, self-reported history of diabetes and hypertension, and for adipose tissue alpha-linolenic acid and energy intake in a third model. After adjustments, positive associations were found between 18:2t-fatty acids (primarily from partially hydrogenated oils) and BMI, waist circumference, and skinfold thickness (P for each association <0.01). Rumenic acid was positively associated with skinfold thickness (P < 0.0001), but not with BMI or waist circumference (P > 0.05). Inverse associations were found between 16:1n-7t-fatty acids and skinfold thickness and between 18:1t-fatty acids and BMI and waist circumference (P < 0.0001). This study suggests that individual trans-fatty acid isomers may have divergent effects on adiposity. 18:2t-fatty acids show consistent positive associations with measures of adiposity. These isomer-specific associations are an interesting new finding. Other prospective and intervention studies are necessary to examine these relationships further.     

Environmental Innovations,Local Networks and Internationalization

This paper investigates the forces correlated with environmental innovations (EIs) introduced by firms in local production systems (LPS). The role of inter-firm network relationships, agglomeration economies and internationalization strategies is jointly analysed for a sample of 555 firms in the Emilia–Romagna (ER) region (North-East Italy). Cooperating with a certain kind of local actors—i.e. suppliers and universities—is the most important EI driver for the investigated firms, along with their training coverage and their adoption of information and communication technologies. The role of agglomeration economies is instead less clear-cut. They spur EIs only in the presence of established LPS, with idiosyncratic sector specialization, while conversely they act as EI barriers. Networking effects and agglomeration economies are instead found to strongly promote the adoption of EIs by multinational firms, thus highlighting the importance of local–global interactions. Interesting specifications for these results are found for particular kinds of EIs, in such fields as CO₂ abatement and ISO labelling, generally extending the analysis of EI drivers by joining local and international factors. In addition, the role of regulatory sector factors confirms the induced innovation hypothesis and provides a robustness check to our results.     

Thermal stability against reduction of LaMn1−yCoyO3 perovskites

Thermal and reduction-oxidation stability of substituted LaMn_1−yCo_yO₃ perovskite-type oxides (0.0 ≤ y_Co ≤ 1.0) prepared by the citrate route have been studied by means of surface area, X-ray diffraction, FTIR spectroscopy and magnetic properties. The perovskite orthorhombic structure is found for y_Co ≤ 0.5, with the exception of y_Co = 0.1, which corresponds better to rhombohedral LaMnO_3.15. For y_Co > 0.5 the diffraction profiles are quite similar to the cobaltite’s rhombohedral structure. Magnetic iso-field studies (ZFC-FC) reveal that, for y_Co ≤ 0.50, the system presents an antiferromagnetic canted-like ordering of the Mn/Co sublattice, in which the presence of divalent Co ion creates Mn³⁺-Mn⁴⁺ pairs that interact ferromagnetically through the oxygen orbital. This interpretation is confirmed by the magnetization loops, in which the magnetic moment increases when substituting Mn for Co. Therefore, the general trend is: for y_Co ≤ 0.5, the Co ions are inserted in the manganite structure and for y_Co > 0.5, the Mn ions are inserted in cobaltite structure. The enhancement of the ferromagnetic properties and the thermal stability against reduction for y_Co = 0.5 is attributed to optimized Co²⁺-Mn⁴⁺ interactions.