A genetic algorithm for the design of a fuzzy controller for active queue management

Active queue management (AQM) policies are those policies of router queue management that allow for the detection of network congestion, the notification of such occurrences to the hosts on the network borders, and the adoption of a suitable control policy. This paper proposes the adoption of a fuzzy proportional integral (FPI) controller as an active queue manager for Internet routers. The analytical design of the proposed FPI controller is carried out in analogy with a proportional integral (PI) controller, which recently has been proposed for AQM. A genetic algorithm is proposed for tuning of the FPI controller parameters with respect to optimal disturbance rejection. In the paper the FPI controller design metodology is described and the results of the comparison with random early detection (RED), tail drop, and PI controller are presented

Prognostic factors of survival in patients treated with nab-paclitaxel plus gemcitabine regimen for advanced or metastatic pancreatic cancer: A single institutional experience.

The objectives of this study were to evaluate the effectiveness of nab-paclitaxel plus gemcitabine (NAB-P/GEM) regimen in an unselected population of patients with advanced inoperable or metastatic pancreatic cancer (PC), and to identify the prognostic factors influencing overall survival (OS). EXPERIMENTAL DESIGN: Patients with age < 85 years, ECOG-performance status (PS) < 3, and adequate renal, hepatic and hematologic function were eligible. NAB-P (125 mg/m2) and GEM (1000 mg/m2) day 1,8,15 every 4 weeks were employed for 3-6 cycles or until highest response. RESULTS: Overall, 147 cycles (median 4, range 1-11 cycles) were administered on thirty-seven consecutive patients (median 66 years old, range 40-82) treated. The median overall progression-free survival and OS were 6.2 and 9.2 months, respectively. The G 3-4 dose-limiting toxicity were neutropenia (20.7%), severe anemia (17.2%), and cardiovascular toxicity (10.3%). PS, number of cycles, baseline CA 19-9 and LDH serum levels, were found to be significantly related to OS. The multivariate analysis showed that both number of cycles (HR = 9.14, 95% CI 1.84-45.50, p = 0.001) and PS (HR = 13.18, 95% CI 2.73-63.71, p = 0.001) were independently associated with OS. CONCLUSION: NAB-P/GEM regimen should be used in all patients with advanced or metastatic PC, with the exception of those with serious contraindications to chemotherapy, such as severe renal or hepatic impairment or major cardiovascular diseases

Cumulative doses analysis in young trauma patients: a single-centre experience

Multidetector computed tomography (MDCT) represents the main source of radiation exposure in trauma patients. The radiation exposure of young patients is a matter of considerable medical concern due to possible long-term effects. Multiple MDCT studies have been observed in the young trauma population with an increase in radiation exposure. We have identified 249 young adult patients (178 men and 71 women; age range 14\u201340 years) who had received more than one MDCT study between June 2010 and June 2014. According to the International Commission on Radiological Protection publication, we have calculated the cumulative organ dose tissue-weighting factors by using CT-EXPO software\uae. We have observed a mean cumulative dose of about 27 mSv (range from 3 to 297 mSv). The distribution analysis is characterised by low effective dose, below 20 mSv, in the majority of the patients. However, in 29 patients, the effective dose was found to be higher than 20 mSv. Dose distribution for the various organs analysed (breasts, ovaries, testicles, heart and eye lenses) shows an intense peak for lower doses, but in some cases high doses were recorded. Even though cumulative doses may have long-term effects, which are still under debate, high doses are observed in this specific group of young patients

A mobile application for assessment of air pollution exposure

In this paper the architecture of a mobile air quality monitoring system is introduced. A mobile application will act as a personal assistant, monitoring and giving advices about gas pollutants daily exposure. Currently in development stage as part of a larger air quality monitoring system project, the application will enable users to monitor their daily exposure to gas pollutants by combining user location data and urban air quality information provided by the network of fixed monitoring stations of the city of Palermo

Confronto fra valutazioni del run-up fatte con un modello matematico e una formula empirica con misure di campo

La posizione planimetrica della linea di riva, soli tamente, viene determinata attraverso l\u2019uso di immagini aeree ed utilizzata pe r la ricostruzione dell\u2019evoluzione storica dei litorali. Tuttavia, le informazioni est ratte da tali immagini, descrivendo il confine istantaneo acqua-terra, consentono l\u2019indivi duazione della linea di riva esclusivamente come limite asciutto-bagnato proprio nel momento della ripresa. Per una pi\uf9 corretta localizzazione della linea di riva , \ue8 quindi necessario quantificare, oltre agli effetti di marea e di trasporto solido, gli effetti prodotti dal moto ondoso su tale posizione e in particolare il cosiddetto ru n-up. Nel presente lavoro si studia il run-up in una spia ggia naturale a debole pendenza ricadente nella Sicilia occidentale. Lo studio geom orfologico del sito precede lo studio idraulico, che partendo dalle misure di onde al largo, attraverso la loro trasposizione e la propagazione simulata con un mod ello matematico, porta alla stima delle onde sotto costa. Queste ultime sono ut ilizzate per valutare il run-up sia mediante una nota formula empirica sia utilizzando un modello numerico alla Boussinesq con una nuova condizione al contorno per la linea di riva. Il confronto dei risultati con le misure di campo mostra che i r isultati migliori si ottengono con la formula empirica, nella quale \ue8 tuttavia necessa rio calibrare i coefficienti con misure in situ

Hyaline fibromatosis syndrome (juvenile hyaline fibromatosis): whole-body MR findings in two siblings with different subcutaneous nodules distribution

Abstract: Hyaline fibromatosis syndrome (juvenile hyaline fibromatosis) is a rare, progressive, autosomal recessive disorder whose main hallmark is the deposition of amorphous hyaline material in soft tissues, with an evolutionary course and health impairment. It may present involvement of subcutaneous or periskeletal soft tissue, or may develop as a visceral infiltration entity with poor prognosis. Very few radiological data about this inherited condition have been reported, due to the extreme rarity of disease. We herein present a case of two siblings, affected by different severity of the disease, with different clinical features. They were examined by whole-body MR (WBMR) in order to assess different lesions localization, to rule out any visceral involvement and any other associated anomalies and to define patients\ue2\u80\u99 management

A new route for the preparation of flexible skin\u2013core poly(ethylene-co-acrylic acid)/polyaniline functional hybrids

Surface modification of polymeric films is a way to obtain final products with high performance for many specific and ad hoc tailored applications, e.g. in functional packaging, tissue engineering or (bio)sensing. The present work reports, for the first time, on the design and development of surface modified ethylene\u2013 acrylic acid copolymer (EAA) films with polyaniline (PANI), with the aim of inducing electrical conductivity and potentially enable the electronic control of a range of physical and chemical properties of the film surface, via a new \u2018\u2018grafting from\u2019\u2019 approach. In particular, we demonstrate that PANI was successfully polymerized and covalently grafted onto flexible EAA substrates, previously activated. The final hybrid materials and the corresponding intermediates were fully characterized via FTIR, XPS, SEM\u2013EDAX, mechanical and electrical tests. The mechanical properties of the films are not detrimentally affected by each treatment step, while a significant increase in electrical conductivity was achieved for the new hybrid materials

Utility of post mortem computed tomography in clivus fracture diagnosis. Case illustration and literature review

Clivus fractures are usually associated with head blunt trauma due to traffic accident and falls. A 23–year-old man died immediately after a smash-up while he was stopping on his motorcycle. Post-mortem Computed tomography (PMCT), performed before autopsy, revealed a complex basilar skull base fractures associated with brainstem and cranio-vertebral junction injuries, improving the diagnostic performance of conventional autopsy. Imaging data were re-assessable and PMCT offers the possibility to perform multiplanar and volume rendered reconstructions, increasing forensic medicine knowledge related to traumatic injuries