While appropriate nutrient intake is important for older adults, various oral problems cause de-creased masticatory function. This cross-sectional study aimed to identify the factors associated with decreased masticatory performance in older adults. Oral examinations were performed on 80 participants (mean age: 75.10 ± 5.64 years) to determine the number of functional tooth units (FTUs). Symptoms of periodontal and temporomandibular diseases were evaluated via a ques-tionnaire. The tone, elasticity, and dynamic stiffness of the masseter muscle were measured using the Myoton® PRO device. The mixing ability test was used to assess the masticatory performance and the mixing ability index (MAI) was calculated. The analysis of covariance test was performed to adjust for confounding factors and multiple logistic regression analysis was performed to identify the risk factors affecting MAI. A lower MAI was significantly associated with higher tone (p = 0.006) and lower elasticity (p = 0.013). The number of FTUs (adjusted odds ratio [OR] = 0.724, p = 0.029), tone (adjusted OR = 1.215, p = 0.016), and elasticity (adjusted OR = 4.789, p = 0.038) were independently associated with the MAI. Muscle function training and prosthetic treatments may help increase masticatory performance in older adults, which will improve overall health.

Freezing of gait (FOG), a debilitating symptom of Parkinson’s disease (PD), can be safely studied using the stepping in place (SIP) task. However, clinical, visual identification of FOG during SIP is subjective and time consuming, and automatic FOG detection during SIP currently requires measuring center of pressure on dual force plates. This study examines whether FOG elicited during SIP in 10 individuals with PD could be reliably detected using kinematic data measured from wearable inertial measurement unit sensors (IMUs). A general, logistic regression model (AUC = 0.81) determined that three gait parameters together were overall the most robust predictors of FOG during SIP: arrhythmicity, swing time coefficient of variation, and swing angular range. Participant-specific models revealed varying sets of gait parameters that best predicted FOG for each participant, highlighting variable FOG behaviors, and demonstrated equal or better performance for 6 out of the 10 participants, suggesting the opportunity for model personalization. The results of this study demonstrated that gait parameters measured from wearable IMUs reliably detected FOG during SIP, and the general and participant-specific gait parameters allude to variable FOG behaviors that could inform more personalized approaches for treatment of FOG and gait impairment in PD.

The present study is aimed at designing anti-reflective (AR) engraving on the Input-Output surfaces of a rectangular light-guide. We estimate AR efficiency, by the transmittance level in the angular range, determined by the light-guide. Using nano-engraving, we achieve a uniform high transmission over a wide range of wavelengths. In the past, we used smoothed conical pins or indentations on the faces of light-guide crystal as the engraved structure. Here, we widen the class of pins under consideration, following the physical model developed in the previous paper. We analyze the smoothed pyramidal pins with different base shapes. The possible effect of randomization of the pins parameters is also examined. The results obtained demonstrate optimized engraved structure with parameters depending on the required spectral range and facet format. The predicted level of transmittance is close to 99\%, and its flatness (estimated by the standard deviation) in the required wavelength range is 0.2\%. The theoretical analysis and numerical calculations indicate that the obtained results demonstrate the best transmission (reflection) we can expect for a facet with the given shape and size for the required spectral band. The approach is equally useful for any other form and of the facet. We also discuss a simple way of comparing experimental and theoretical results for a light-guide with the designed input and output features. In this study, as well as in our previous work, we restrict ourselves to rectangular facets. We also consider the limitations on maximal transmission produced by the size and shape of the light-guide facets. The theoretical analysis is performed for an infinite structure and serves as an upper bound on the transmittance for smaller-size apertures.

Background: To compare the loss of preload in absence of loading and after a fixed number of ideal masticatory cycles in two different connection systems using all-on-four prosthetic model. Methods: Two equal models of an edentulous mandible rehabilitated with all-on-four technique with two types of abutment system (MUA and OT-Bridge) supporting a hybrid prosthesis, were used. Initial torque values of the prosthetic fixing screw, after ten minutes from initial screw tightening and after 400000 masticatory cycles were registered using a mechanical torque gauge. Differences between initial and final torque values were reported for each anchoring system and the two systems were finally compared. Results: No statistically significant differences regarding the loss of preload between MUA and OT-Bridge system were found after 400000 masticatory cycles; however, in MUA system it was found between anterior and posterior implant screws. A significant difference in preload loss was found only for MUA system comparing the initial screw torque to that measured after 10 minutes from the tightening in absence of cyclic loadings. Conclusions: MUA and OT-Bridge are reliable prosthetic anchoring systems able to tolerate repeated masticatory cycles also on distal cantilever in all-on-four rehabilitation model without any significant loss of preload in screw tightening

Let b∈Cn∖{0} be a fixed direction. We consider slice holomorphic functions of several complex variables in the unit ball, i.e. we study functions which are analytic in intersection of every slice {z0+tb:t∈C} with the unit ball Bn={z∈C:|z|:=|z|12+…+|zn|2<1} for any z0∈Bn. For this class of functions there is introduced a concept of boundedness of L-index in the direction b where L:Bn→R+ is a positive continuous function such that L(z)>β|b|1−|z|, where β>1 is some constant. For functions from this class we describe local behavior of modulus of directional derivatives on every ’circle’ {z+tb:|t|=r/L(z)} with r∈(0;β],t∈C,z∈Cn. It is estimated by value of the function at center of the circle. Other propositions concern a connection between boundedness of L-index in the direction b of the slice holomorphic function F and boundedness of lz-index of the slice function gz(t)=F(z+tb) with lz(t)=L(z+tb). Also we show that every slice holomorphic and joint continuous function in the unit ball has bounded L-index in direction in any domain compactly embedded in the unit ball and for any continuous function L:Bn→R+.

A humidity-sensitive demand-controlled ventilation system is known for many years. It has been developed and commonly applied in regions with an oceanic climate. Some attempts were made to introduce this solution in Poland in a much severe continental climate. The article evaluates this system's performance and energy consumption applied in an 8-floor multi-unit residential building, virtual reference building described by the National Energy Conservation Agency NAPE, Poland. The simulations using the computer program CONTAM were performed for the whole hating season for Warsaw's climate. Besides passive stack ventilation that worked as a reference, two versions of humidity-sensitive demand-controlled ventilation were checked. The difference between them lies in applying the additional roof fans that convert the system to hybrid. The study confirmed that the application of demand-controlled ventilation in multi-unit residential buildings in a continental climate with warm summer (Dfb) leads to significant energy savings. However, the efforts to ensure acceptable indoor air quality require hybrid ventilation, which reduces the energy benefits. It is especially visible when primary energy use is analyzed.

This paper proposes a mathematical model to simulate Day-ahead markets of large-scale multi-energy systems with high share of renewable energy. Furthermore, it analyses the importance of including unit commitment when performing such analysis. The results of the case study, which is performed for the North Sea region, show the influence of massive renewable penetration in the energy sector and increasing electrification of the district heating sector towards 2050, and how this impacts the role of other energy sources such as thermal and hydro. The penetration of wind and solar is likely to challenge the need for balancing in the system as well as the profitability of thermal units. The degree of influence of the unit commitment approach is found to be dependent on the configuration of the energy system. Overall, including unit commitment constraints with integer variables leads to more realistic behaviour of the units, at the cost of increasing considerably the computational time. Relaxing integer variables reduces significantly the computational time, without highly compromising the accuracy of the results. The proposed model, together with the insights from the study case, can be specially useful for system operators for optimal operational planning.

The optimization problem of two or more special-purpose functions of the energy system is subjected to an analysis. Based on experience of our research and general knowledge of partial solutions of energy system optimization at the level of control of production and power energy supply by energy companies in the Czech Republic, a special-purpose (cost) function has been defined. By analysing the special-purpose function, penalty and limitations have been defined. Using the fuzzy logic, a set of suitable solutions for the special-purpose function is accepted. An optimum of the special-purpose function is looked for using the simulated annealing method. The history of electricity consumption is sorted by day and by hour, representing the multidimensional data. When using the cluster analysis, type daytime diagrams of consumption are defined. Type daytime diagrams form prototypes of identified clusters. The so-called self-organizing neural network with Kohonen map attached is used to perform the cluster analysis. The result of our research is presented by an experiment.

Highly-resolved data on water balance components (like runoff or storage) are crucial to improve water management, e.g., in drought or flood situations. Because regional observations of these components cannot be acquired adequately, applying water balance models is a feasible solution. We developed an innovative approach using the physically-based lumped-parameter water balance model BROOK90 (R version) integrated into a sensor network platform to derive daily water budget components for catchments in the Free State of Saxony. The model is not calibrated but rather uses available information on soil, land use and precipitation only. We applied the hydro response units (HRUs) approach for 6175 small and medium-sized catchments. For the evaluation, model output was cross-evaluated in ten selected head catchments in a low mountain range in Saxony. The mean values of Kling-Gupta efficiency (KGE) for the period 2005-2019 to these catchments are 0.63 and 0.75 for daily and monthly discharge simulations, respectively. The simulated evapotranspiration and soil wetness are in good agreement with the SMAP_L4_GPH product in April 2015-2018. The study can be enhanced by using different data platforms as well as available information on study sites.

Achieving devices to be transparent is the task considered in the last time in many aspects and for different purposes. One issue of these problems is making anti-reflective surfaces in a wide wavelength range and keeping it flat enough. The authors of the previous publication showed that one could enhance a flat facet's transmission efficiency by suitable engraving. They used smoothed conical fingers and holes. Here, we widen the class of anti-reflective metasurfaces under consideration, following the requirements of the model developed in the previous paper. We involve also smoothed pyramidal fingers. The obtained results provide the improved engraved structure, with parameters dependent on the required spectral range, and the facet format. The predicted level of transmittance is close to 99\%, and the flatness(estimated by the standard deviation) as 0.2\%. This improvement is significant enough for high and broadband transmittance. In this work, we show that the randomization of the engraving parameters does not provide any significant effect for small facets. We also discuss a simple way of comparing experimental and theoretical results for a waveguide with the considered input and output features. In this study, as well as in our previous work, we restrict ourselves by rectangular facets. We also discuss the limitations that originated from the size and shape of the waveguide facets.

The bacterial composition of oral samples has traditionally been determined by PCR amplicon sequencing of 16S rRNA genes. Recent amplicon sequence variant (ASV)-based analyses of 16S rRNA genes differ from that based on operational taxonomic unit (OTU) clustering in the way it deals with sequences having potential errors. However, little information is available on its application in oral microbiome studies. Here, we conducted ASV-based analysis of oral microbiome samples using QIIME 2. We investigated the optimal parameters for sequence denoising, using DADA2, and found the trimming of the first 20 nucleotides from 5′-end of both paired reads avoided excessive sequence loss during chimera removal. Truncating reads at positions 240–245 allowed the removal of low-quality sequences while maintaining sufficient length to merge matching paired ends. Taxonomic assignment, using the naïve Bayes classifier trained with the V3-V4 region of reference 16S rRNA sequences in the extended human oral microbiome database (eHOMD), resulted in bacterial compositions similar to those of OTU-based analyses. Contrary to OTU-based clustering, ASV-based analysis showed taxonomic abundance at the genus or species level to not differ significantly in tongue microbiomes, regardless of brushing. QIIME 2 can, therefore, be a standard pipeline for ASV-based analysis of oral microbiomes.

Understanding the shoulder-specific load in handball is important for both prevention and rehabilitation of shoulder injuries. The shoulder-specific load is largely a result of the number and speed of throws. However, it is difficult to quantify number and speed of throws in handball due to limitations in the current technology. Therefore, the purpose of this study was to develop a novel method to estimate throwing speed in handball using a low-cost accelerometer-based device. Nineteen experienced handball players each performed 25 throws of varying types while we measured the acceleration of the wrist using the accelerometer and the throwing speed using 3D motion capture. Using cross-validation, we developed four prediction models using combinations of the logarithm of the peak total acceleration, sex and throwing type as the predictor and the throwing speed as the outcome. We found that all models were well-calibrated (mean calibration of all models: 0.0 m/s, calibration slope range: 0.99-1.00) and precise (R2 = 0.71-0.85, mean absolute error = 1.32-1.82 m/s). We conclude that the developed method appear to provide practitioners and researchers with a feasible and cheap method to estimate throwing speeds in handball.

Due to limitation of natural sand from rivers and seas, artificial sand production from large stones or rocks is being increased. However, this sand manufacturing process is dangerous and causes several social problems such as high level of unwanted vibrations or noises. This study investigates vibration characteristics of sand and screen units in artificial sand production plant whose actuating operation is multiple with several different exciting frequencies. As a first step, vibration levels are measured at the sand and screen unit positions using accelerometers in time and frequency domains. The measurement is carried out at two different conditions: activating sand unit only and operating entire facilities such as stone crusher. Vibration signals acquired from several locations of the sand and screen units of the plant are collected and analyzed from waveforms and spectrums of the signals. It is identified that the vibration acceleration level of the screen unit is higher than that of the sand unit. In addition, it is found from the acceleration signals measured at plant office and shipping control center those places are far away from the plant location that the beating phenomenon is occurred by close driving frequencies for several sand units. In this work, the vibration caused from the beating is significantly reduced by adjusting the driving frequencies for the sand units so that they are sufficiently scattered to avoid the beating.

Non-pharmacological interventions in the fight against COVID 19 include: a) suppression, which facilitates its extinction; and b) mitigation, which reduces its speed of spread. Left unmitigated, the intensive care unit bed capacity (ICU) is exceeded over its maximum supply, resulting in increased deaths. Suppression has shown in simulation models the potential for decreasing ICU occupation below its surge limit, effectively decreasing mortality. However, for avoiding a rebound in transmission, suppression must be maintained intermittently until a vaccine is available (which may take up to 2 years). The objective of this paper was to describe the mortality patterns observed in Spain, Italy and South Korea for discussing a hypothetical combined public health policy and socioeconomic model that could potentially reduce mortality while reducing the economic impact of this pandemic in Spain. The plan is based on a progressive-voluntary reinstatement to work of the population exposed to the lowest risks (healthy non-immune family units <50 y/o and immune population) and it depends on having sufficiently available ICU beds for providing adequate support. This model, if proven correct for Spain, could eventually be followed by other countries facing a similar impact of the present pandemic.

After globalization, South Korea’s retail landscape has been saturated with large-scale, corporate type retails. However, recently new commercial districts composed of small retail units are returning and bringing about a change. This study sought to take note of this phenomenon and identify its features and meanings from the perspective of urban ecology. A density-distribution analysis was conducted to investigate how they were forms, and an analysis of traces on the Internet and an analysis on the types of businesses were done to identify sociocultural characteristics. Results showed that they had similar type of locations and growth patterns, that they harmoniously congregated in a form of smaller-individual stores, and that their use of similar names for their stores had an impact of branding their entire districts. It was also noted that a shared culture through social networking services served as a growth boost for their unfavorable location. The spontaneous formation of such commercial districts can be an outcome of an urban ecological process geared toward blank niches burgeoning in the current retail structure of Korea. The causes and conditions found in the cases reveal meaningful policy implications for cities facing the same urban crisis diversity.

Injuries to the ligaments of the knee are extremely common among athletes who participate in high-risk sports, or any sport that requires frequent cutting motions, jumping, or contact. In order to determine the best way to heal these injuries, it is important to understand not just the pathology of the injury, but also the biomechanical factors that are affected, including stability and steadiness. While many studies have been done to examine the stability of healthy knees, there is little to no existing literature on stability of knees afflicted by injury. In order to surpass this obstacle, static steadiness and dynamic stability data was collected using the Lockhart Monitor phone application and Xsens accelerometers, respectively, both before and after completion of a course of physical therapy in a patient with a grade 2 medial collateral ligament (MCL) tear. These results were then used to determine the degree to which the prescribed physical therapy protocol was effective in healing the MCL, which can be useful for tweaking the individual protocol for future conservative treatment and management of the injury.

We have shown that three astrometric solar-system anomalies can be explained satisfactorily by using evolutionary gravitational constant G and speed of light c in the Einstein’s field equation. These are: a) the Pioneer acceleration anomaly; b) the anomalous secular increase of Moon-orbit eccentricity; and c) the anomalous secular change in the astronomical unit AU. The gravitational constant G and the speed of light c both increase as dG/dt = 5.4GH₀ and dc/dt = 1.8cH₀ with H₀ as the Hubble constant. We also show that the Planck’s constant ħ increases as dħ/dt = 1.8ħH₀. Additionally, the new approach fits the supernovae Ia redshift vs distance modulus data as well as the standard ΛCDM model with just one adjustable parameter H₀.

This article aims to solve the problem of robust supervision of a reverse osmosis desalination system (RO-DS) with two models, external model and bond graph model. The structure of an industrial system from the point of view of the external model operates according to several modes of operation (degraded and normal). For this external model, we cannot locate the faults since we are talking about a global operation of the system. The possible solution for the development of research was to use the multidisciplinary model called bond graph. This model by its graphic nature and using a unified language makes it possible to model the industrial system element by element from where it helps the user not only to detect the faults but also to locate them when they appear in the system. The results suggest that the use of the bond graph model for alarm 02 is a reverse osmosis error (RO1); these phenomena are readable on the bond graph model and can be quantified by equations. The equation of the model of this reverse osmosis (RO1) is found in the residual equations (r5, r6 and r7), so that these residues will be sensitive to this rupture. The possible solution during research development was to use the bond graph model to supplement information with physical knowledge and to locate faults. This article also describes the operating safety (by minimizing false alarms and non-detections as well as delays in fault detection) of the desalination system by using the bond graph model described in Linear Fractional Transformation (LFT) form for enable it to manage the robust supervision of a desalination system. An approach based on (LFT-BG) is developed to monitor tank leakage (Cu) and reverse osmosis (RO1 and RO2) faults or valve level (V1 and V2) closures and membrane clogging reverse osmosis (Rm1 and Rm2) that can occur in the reverse osmosis desalination system (RO-DS).

The continuous energy transformation processes in heating, ventilation and air conditioning systems of buildings are responsible for 36% of global final energy consumption. Tighter thermal insulation requirements for buildings have significantly reduced heat transfer losses. Unfortunately, this has little effect on energy demand for ventilation. On the basis of the First and the Second Law of Thermodynamics, the concepts of entropy and exergy are applied to the analysis of ventilation air handling unit (AHU) with a heat pump in this paper. This study aims to develop a consistent approach for this purpose, taking into account the variations of reference temperature and temperatures of working fluids. An analytical investigation on entropy generation and exergy analysis are used, when exergy is determined by calculating coenthalpies and evaluating exergy flows and their directions. The results show that each component of the AHU has its individual character of generated entropy, destroyed exergy and exergy efficiency variation. However, the evaporator of heat pump and fans have unabated quantities of exergy destruction. The exergy efficiency of AHU decreases from 45-55% to 12-15% when outdoor air temperature is within the range of –30°C…+10°C, respectively. This helps to determine conditions and components of improving the exergy efficiency of the AHU at variable real-world local climate conditions. The presented methodological approach could be used in the dynamic modelling software and contribute to a wider application of the Second Law of Thermodynamics in practice.

Background: New open-source electric-grid planning models have the potential to improve power system planning and bring a wider range of stakeholders into the planning process for next-generation, high-renewable power systems. However, it has not yet been established whether open-source models perform similarly to the more established commercial models for power system analysis. This reduces their credibility and attractiveness to stakeholders, postponing the benefits they could offer. In this paper, we report the first model intercomparison between an open-source power system model and an established commercial production cost model. Results: We compare the open-source Switch 2.0 to GE Energy Consulting’s Multi Area Production Simulation (MAPS) for production-cost modeling, considering hourly operation under 17 scenarios of renewable energy adoption in Hawaii. We find that after configuring Switch with similar inputs to MAPS, the two models agree closely on hourly and annual production from all power sources. Comparing production gave a coefficient of determination of 0.996 across all energy sources and scenarios, indicating that the two models agree on 99.6% of the variation. For individual energy sources, the coefficient of determination was 69–100. Conclusions: Although some disagreement remains between the two models, this work indicates that Switch is a viable choice for renewable integration modeling, at least for the small power systems considered here. Although some disagreement remains between the two models, this work indicates that Switch is a viable choice for renewable integration modeling, at least for the small power systems considered here.

Background: Parents of preterm infants face major mental health challenges in the Neonatal Intensive Care Unit (NICU). Family-centered music therapy actively integrates and empowers parents in their infant’s care. With the aim to better understand and address parental needs separately from their babies’, a music therapy (MT) self-care group was implemented as part of clinical practice at the hospital Clínica de la Mujer in Bogotá, Colombia. Methods: The group is provided for both parents twice a week in the NICU. Music guided relaxations, breathing techniques, and self-expression are at the center of the MT group sessions. Parents complete a pre/post self-administered Numeric Rating Scale (NRS) including anxiety levels, stress levels, mood and motivation. Results: Parents highly value the MT self-care group at the NICU. On average there is a 37% improvement in anxiety levels, 28% in stress levels, and 12% in mood, restfulness and motivation. Being able to relax, to distract themselves from their worries and having time for themselves are amongst the most frequently mentioned benefits. Conclusions: Addressing parents’ needs separately form their babies’ treatment with culturally sensitive interventions aimed to improve parental mental health, is essential for continuing the development of family-centered music therapy interventions in the NICU.

Objective: This paper aims to build an Effort Estimation Model for design, coding and testing Web Applications Based Fuzzy and Practical Models, which will help in optimizing the efforts in software development. Methods/Analysis: Soft computing approach is adopted and applied in the effort estimation and then compared with practical efforts in the development process with interpreting the historical data available for the existing functionalities. Findings: The effort estimation model presented in this paper focuses on the first level estimates published by Project Managers and the second level estimates presented by Project Leaders or Developers for any new requirement or enhancement for a web application built on 3-tier architecture using Microsoft technologies. The model considers the classification of each task as either Low or Medium or High complexity. These tasks pertain to the lowest level parts in bottom-up estimation. Efforts are estimated for designing, coding and unit testing of these tasks and the efforts are summed up to get the effort estimation for the higher level which is a feature to be implemented. Novelty/Improvement: The paper also discusses about the application of the effort estimation model by taking a new requirement as a case study. The first level estimates calculated using the effort estimation model has a variance of about 25% when compared with the actual effort. This variance is very much acceptable considering the fact that the first level estimates can be tolerable up to 35%. The proposed effort estimation tool would help the project managers to efficiently control the project, manage the resources effectively, and improve the software development process and also trade off analyses among schedule, performance, quality and functionality. Fuzzy logic is used to verify the claims made in efforts estimation. It is proposed a new relation between the number of data and efforts value membership for actual data. And converts it into crisp value in the range [0…1] which helps to classify the complexity of the task and subtask in the design, coding and testing phases.

Fire accidents are causing a huge human death as well as economic losses throughout the world every year. But a novel fire detection and extinguishing system could reduce these losses to a great extent. We are proposing a cost effective and yet very efficient system which has been developed in our laboratory and evaluated while in operation. Our system consists of two units: detection unit and extinguishing unit. For detection purposes we used smoke, IR and temperature sensors. While for extinguishing purposes we used both foam and water. We used a PC to process and control our system through LabVIEW software of National Instrument, USA. The detection unit will send signal through a wireless module to PC if fire is detected. Then PC (LabVIEW) will process the signal and using relay module first of all the electric power and gas lines will be turned off. The extinguishing unit will then release foam or water to extinguish the fire. The system will send SMS to the predefined numbers using GSM module. Our system is location independent as it uses GSM and can be operated from remote location using wireless module. After performance evaluation it was found to be fast and reliable.

One of the most crucial and economically beneficial tasks for energy customer is peak load curtailment. On account of the fast response of renewable energy resources (RERs) such as photovoltaic (PV) units and battery energy storage system (BESS), this task is closer to be efficiently implemented. Depends on the customer peak load demand and energy characteristics, the feasibility of this strategy may warry. When adaptive neuro-fuzzy inference system (ANFIS) is exploited for forecasting, it can provide many benefits to address the above-mentioned issues and facilitate its easy implementation, with short calculating time and re-trainability. This paper introduces a data driven forecasting method based on fuzzy logic for optimized peak load reduction. First, the amount of energy generated by PV is forecasted using ANFIS which conducts output trend, and then, the BESS capacity is calculated according to the forecasted results. The trend of the load power is then decomposed in Cartesian plane into two parts, left and right from load peak, searching for BESS capacity equal. Network switching sequence over consumption is provided by a fuzzy logic controller (FLC) with respect to BESS capacity and PV energy output. Finally, to prove the effectiveness of the proposed ANFIS-based peak shaving method, offline digital time-domain simulations have been performed on a real-life practical test micro grid system in MATLAB/Simulink environment and the results have been experimentally verified by testing on a practical micro grid system with real-life data obtained from smart meter and also, compared with several previously-reported methods.

In this paper, we revisit a modified version of the classical Whitehead's theory of gravity in which all possible bilinear forms are considered to define the corresponding metric. Although, this is a linear theory that fails to give accurate results for the most sophisticated predictions of general relativity, such as gravity waves, it can still provide a convenient framework to analyze some new phenomena in the Solar System. In particular, recent development in the accurate tracking of spacecraft and the ephemerides of planetary positions have revealed certain anomalies in relation with our standard paradigm for celestial mechanics. Among them the so-called flyby anomaly and the anomalous increase of the astronomical unit play a prominent role. In the first case the total energy of the spacecraft changes during the flyby and a secular variation of the semi-major axis of the planetary orbits is found in the second anomaly. For this to happen it seems that a net energy and angular momentum transfer is taken place among the orbiting and the central body. We evaluate the total transfer per revolution for a planet orbiting the Sun in order to predict the astronomical unit anomaly in the context of Whitehead's theory. This could lead to a more deeply founded hypothesis for an extended gravity model.

Background: This study aims to compare the impact of early and late post-discharge cardiopulmonary rehabilitation on the outcomes of intensive care unit (ICU) survivors. Methods: The retrospective, cohort study used a sub-database of the Taiwan National Health Insurance Research Database (NHIRD) that contains information of all patients had ICU admission between 2000 and 2012. Early group was defined if patients had received cardiopulmonary rehabilitation within 30 days after ICU discharge, and late group was define as if patients had received cardiopulmonary rehabilitation between 30 days and one year after ICU discharge. The end points were mortality and re-admission during the 3-year follow-up. Results: Among 2136 patients received cardiopulmonary rehabilitation after ICU discharge, 994 was classified early group and other 1142 patients were classified as late group. Overall, early group had a lower mortality rate (6.64% vs 10.86%, p = 0.0006), and a lower ICU readmission rate (47.8% vs 57.97%, p < 0.0001) than late group after 3-year follow-up. Kaplan-Meier analysis showed that early group had significantly lower mortality (p=0.0009) and readmission rate (p<0.0001) than late group. In multivariate analysis, the risk of ICU readmission was found to be independently associated with late group (HR, 1.28; 95% CI, 1.13-1.47). Conclusions: Early post-discharge cardiopulmonary rehabilitation among ICU survivors has the long-term survival benefit and significantly decreases the readmission rate.

With the introduction of the IEC 61850 standard, the path is set for a single communication topology covering all substation levels. The standard has the potential to change the way substations are designed, build, tested and maintained. This means that the key segment of the substation, its protection system, will go through a transition period with the end goal of having a digitalized substation where all information exchange is performed over an Ethernet communication bus. The goal of this paper is to analyse the performance impact of the IEC 61850-9-2LE on the protection system. To do this, a laboratory hardware-in-the-loop test setup is developed representing traditional, hybrid and digital substation topology. This setup served to simulate faults and create transient waveforms in an extended IEEE 123 node test system, which were then used to detect the reaction times of protection relay devices. To verify protection relay results significant number of tests are performed clearly showing benefits which can be gained by distribution system digitalization.

Stroke remains a major cause of death and disability in the United States and around the world. Solid safety and efficacy profiles of novel stroke therapeutics have been generated in the laboratory, but most failed in clinical trials. Investigations into the pathology and treatment of the disease remain a key research endeavor in advancing scientific understanding and clinical applications. In particular, cell-based regenerative medicine, specifically stem cells transplantation, may hold promise as stroke therapy because grafted cells and their components may recapitulate the growth and function of the neurovascular unit, which arguably represents the alpha and omega of stroke brain pathology and recovery. Recent evidence has implicated mitochondria, organelles with a central role in energy metabolism and stress response, in stroke progression. Recognizing that stem cells offer a source of healthy mitochondria, potentially transferrable into ischemic cells, may provide a new therapeutic tool. To this end, deciphering cellular and molecular processes underlying dysfunctional mitochondria may reveal innovative strategies for stroke therapy. Here, we review recent studies capturing the intimate participation of mitochondrial impairment in stroke pathology, and showcase promising methods of healthy mitochondria transfer into ischemic cells, to critically evaluate the potential of mitochondria-based stem cell therapy for stroke.

The financial inclusion, including all the people with the finance, is very concerned issue all over the world where Bangladesh is also trying to include all the people with the finance. Bangladesh lies in such a group of countries where only 17.6% - 38.6% adults are presently under the reach of the formal financial services. This is because the present banks and other formal financial modes consider the outcome and profitability in a way that, the rural and non-developed areas are always out of the consideration. But these areas consist of the most population of Bangladesh. And only then financial inclusiveness will be successful in Bangladesh when people from these regions will be under formal financial consideration. The paper seeks for a solution to the issue and presents the Unit Banking System as a probable way towards financial inclusion. For implementing the system in Bangladesh, the system needs a slight modification to cope in Bangladeshi economic condition and address the specific needs without hampering the surroundings. Considering all these, the paper shows the status, problems and key points of financial scenario of inclusion in Bangladesh and shows policy for a Modified Unit banking System.

The tumor microenvironment is known to have increased levels of cytokines and metabolites, such as glutamate, due to their release from the surrounding cells. A normal cell around the tumor that responds to the inflammatory environment is likely to be subsequently altered. We will discuss how these abnormalities will support tumor survival via the actions of gap junctions (GJs) and hemichannels (HCs) which are composed of hexamer of connexin 43 (Cx43) protein. In particular, we will discuss how GJ intercellular communication (GJIC) in glioma cells, the primary brain tumor, is a regulatory factor and its attenuation leads to tumor invasion. In contrast, the astrocytes, which are normal cells around the glioma, are "hijacked" by tumor cells, either by receiving the transmission of malignant substances from the cancer cells via GJIC, or perhaps via astrocytic HC activity through the paracrine signaling which enable the delivery of these substances to the distal astrocytes. This astrocytic signaling would promote tumor expansion in the brain. In addition, brain metastasis from peripheral tissues has also been known to be facilitated by GJs formed between cerebral vascular endothelial cells and cancer cells. Astrocytes and microglia are generally thought to eliminate cancer cells at the blood brain barrier. In contrast, some reports suggest they facilitate tumor progression as tumor cells take advantage of the normal functions of astrocytes that support the survival of the neurons by exchanging nutrients and metabolites. In summary, GJIC is essential for the normal physiological function of growth and allowing the diffusion of physiological substances. Therefore, whether GJIC is cancer promoting or suppressing may be dependent by what permeates through GJs, when it is active, and to which cells. The nature of GJs, which has been ambiguous in brain tumor progression, will need to be re-visited and understood together with new findings on Cx proteins and HC activities.

Very little is known about laboratory confirmed blood stream infections (LCBIs) in neonatal intensive care units (NICUs) in resource-limited settings. The aim of this cohort study was to determine the incidence, risk factors, and causative agents of LCBIs in a level-2 NICU in India. The diagnosis of LCBIs was established using the Centre for Disease Control, USA criteria. A predesigned questionnaire containing risk factors associated with LCBIs was filled-in. A total of 150 neonates (43% preterm) were included in the study. The overall incidence of LCBIs was 31%. The independent risk factors for LCBIs were: preterm neonates (relative risk (RR) 2.23), duration of NICU stay more than 14 days (RR 1.75), chorioamnionitis in the mother (RR 3.18), premature rupture of membrane in mothers (RR 2.32), neonate born through meconium-stained amniotic fluid (RR 2.32), malpresentation (RR 3.05), endotracheal intubation (RR 3.41), umbilical catheterization (RR 4.18), and ventilator-associated pneumonia (RR 3.17). The initiation of minimal enteral nutrition was protective from LCBIs (RR 0.22). The predominant causative organisms were gram-negative pathogens (58%). The results of the present study can be used to design antibiotic interventions to reduce LCBIs in resource-limited settings.

Traditionally, palliative care (PC) systems focused on the needs of advanced cancer patients. But, most patients needing PC have end-stage organ diseases. Similarly, PC models focused on the needs of patients in hospice or at home; however, in most cases PC is provided in acute hospitals. Indeed, the symptom burden that these patients experience in the last year of life frequently forces them to seek care in Emergency Department. The majority of them are admitted to the hospital and many die. This issue poses important concerns. Despite the efforts of attending healthcare professionals, inhospital patients do not receive optimal care near the end-of-life. Also, evidence is emerging that delay in identifying patients needing PC have a detrimental impact on their quality of life (QoL). Therefore, there is an urgent need to early and properly identify these patients among those hospitalized. Several trials reported the efficacy of PC in improving the QoL in these patients. Each hospital should ensure that a multidisciplinary PC team is available to support attending physicians to achieve the best QoL for both PC patients and their families. This review discusses the role and the impact of inhospital PC in patients with end-stage disease or advanced cancer.

As a procedure deriving UH (unit hydrograph), the root selection method necessitates only storm runoff data. However, this method must deal with the uncertainty related to the noise fluctuation of runoff ordinates and derive one optimal UH from many storms. This study proposes a procedure that applies the Savitzky-Golay filter to smooth the noise fluctuation of the runoff ordinates and uses the linear combination of UHs from individual storms to derive an optimal UH. The proposed method is applied to the storms of the Nenagh River basin in Ireland. The applicability of the Savitzky-Golay filter for smoothing the noise fluctuation of storm runoffs is examined by means of the Nash-Sutcliffe efficiency index. Furthermore, the root selection method is extended to also estimate IUHs. The results show that the adoption of the Savitzky-Golay filter improves the applicability of the root selection method and that the optimal UH predicts accurately the time-to-peak and peak discharge.

The mitigation of NLOS (non-line-of-sight) propagation conditions is one of main challenges in wireless signals based indoor localization. When RFID localization technology is applied in applications, RSS fluctuates frequently due to the shade and multipath effect of RF signal, which could result in localization inaccuracy. In particularly, when tags carriers are walking in LOS (line-of-sight) and NLOS hybrid environment, great attenuation of RSS will happen, which would result in great location deviation. The paper proposes an IMU-assisted (Inertial Measurement Unit) RFID based indoor localization in LOS/NLOS hybrid environment. The proposed method includes three improvements over previous RSS based positioning methods: IMU aided RSS filtering, IMU aided LOS/NLOS distinguishing and IMU aided LOS/NLOS environment switching. Also, CRLB (Cramér-Rao Low Bound) is calculated to prove theoretically that indoor positioning accuracy for proposed method in LOS/NLOS mixed environment is higher than position precision of only use RSS information. Simulation and experiments are conducted to show that proposed method can reduce the mean positioning error to around 3 meters without site survey.

In this work, the Pumped Storage Unit (PSU) is proposed to be integrated with wind-thermal generation system owned by a company whose aim is to maximize its profit through optimal self-scheduling of its units by finding the best bidding strategy in day-ahead energy market. The mathematical formulation of the scenario based unit-commitment and coordinated trading problem is formulated as a stochastic mixed integer linear program. The formulation takes into account several uncertain parameters; such as the wind power generation, energy market prices, and imbalances up/down prices. The expected total profit obtained from energy trading with and without coordinating pumped storage system (PSS) with thermal-wind generation system were compared, and a significant improvement in profit resulted from coordination was observed. Furthermore, coordination between PSS and wind-thermal generation improve the conditional value at risk (CVaR) which monitors the biding risk level.

The optimization of guide vane closing schemes (OGVCS) of pumped storage hydro unit (PSHU) is the research field of cooperative control and optimal operation of pumped storage, wind power and solar power generation. This paper presents a OGVCS model of PSHU considering the rise rate of the unit rotational speed and the specific node pressure of each hydraulic unit, as well as various complicated hydraulic and mechanical constraints. OGVCS model is formulated as a multi-objective optimization problem to optimize conflictive objectives, i.e., unit rotational speed and water hammer pressure criteria. In order to realize the efficient solution of the OGVCS model, an enhanced multi-objective bacterial-foraging chemotaxis gravitational search algorithm (EMOBCGSA) is proposed to solve this problem, which adopts population reconstruction, adaptive selection chemotaxis operator of local searching strategy and Elite archive set to efficiently solve the multi-objective problem. Especially, novel constraints-handling strategy with eliminating and local search based on violation ranking is used to balance various hydraulic and mechanical constraints. Finally, simulation cases of complex extreme operating conditions (i.e., load rejection and pump outage) of ‘single tube-double units’ type PSHU system are conducted to verify the feasibility and effectiveness of the proposed EMOBCGSA in solving OGVCS problem. The simulation results indicate that the proposed EMOBCGSA can provide lower rise rate of the unit rotational speed and smaller water hammer pressure than other method established recently while considering various complex constraints in OGVCS problem.

The paper presents the design and the implementation of different advanced control strategies that are applied to a nonlinear model of a thermal unit. A data–driven grey–box identification approach provided the physically meaningful nonlinear continuous–time model, which represents the benchmark exploited in this work. The control problem of this thermal unit is important since it constitutes the key element of passive air conditioning systems. The advanced control schemes analysed in this paper are used to regulate the outflow air temperature of the thermal unit by exploiting the inflow air speed, whilst the inflow air temperature is considered as an external disturbance. The reliability and robustness issues of the suggested control methodologies are verified with a Monte–Carlo analysis for simulating modelling uncertainty, disturbance and measurement errors. The achieved results serve to demonstrate the effectiveness and the viable application the suggested control solutions to air conditioning systems. The benchmark model represents one of the key issues of this study, which is exploited for benchmarking different model–based and data–driven advanced control methodologies through extensive simulations. Moreover, this work highlights the main features of the proposed control schemes, while providing practitioners and heating, ventilating and air conditioning engineers with tools to design robust control strategies for air conditioning systems.

Capital structure decision plays an imperative role in firm’s performance. Recognizing the importance, there has been many studies inspected the rapport of capital structure with performance of firms and findings of those studies are inconclusive. In addition, there is relative deficiency of empirical studies examining the link of capital structure with performance of banks in Bangladesh. This paper attempted to fill this gap. Using panel data of 22 banks for the period of 2005-2014, this study empirically examined the impacts of capital structure on the performance of Bangladeshi banks assessed by return on equity, return on assets and earnings per share. Results from pooled ordinary least square analysis show that there are inverse impacts of capital structure on bank’s performance. Empirical findings of this study is of greater significance for the developing countries like Bangladesh because it will call upon concentration of the bank management and policy makers to pursue such policies to reduce reliance on debt and to accomplish optimal level capital structure. This research also contributes to empirical literatures by reconfirming (or otherwise) findings of previous studies.

In this study, a basic study was performed to analyze the seasonal temperature status of a research room in the Global Environment Research Building where ceiling-embedded indoor units are installed to study the room temperature status of the building as well as to improve its thermal environment. In addition, a direction for improvement of the indoor thermal environment in the winter was proposed through a CFD (computational fluid dynamics) simulation and was proven by an additional experiment. Through the results of this study, it appeared that if the ceiling-embedded indoor unit was installed in the small indoor space without considering the thermal vulnerability of its perimeter boundary, the air temperature of the upper part was greatly different from that of the bottom part in the winter. Hence, in this study, as a means to improve it, convectors were installed to minimize the effect of the external thermal environment and angle-controllable air flowing fans were installed to mitigate the stratification distribution. With such result, it was intended to present the essential data for improvement of the thermal environment as well as conservation of heating energy in the winter for buildings by reviewing the use of the ceiling-embedded indoor unit in the future.

The Solvency II regulatory framework specifies procedures and parameters for determining solvency capital requirements (SCRs) for insurance companies. The proposed standard SCR calculations involve two steps. The Value–at–Risk (VaR) of each risk driver is measured and, in a second step, all components are aggregated to the company’s overall SCR, using the Standard Formula. This formula has two inputs: the VaRs of the individual risk drivers and their correlations. The appropriate calibration of these input parameters has been the purpose of various Quantitative Impact Studies that have been conducted during recent years. This paper demonstrates that the parameter calibration for the equity–risk module—overall, with about 25%, the most significant risk component—is seriously flawed, giving rise to spurious and highly erratic parameter values. As a consequence, an implementation of the Standard Formula with the currently proposed calibration settings for equity–risk is likely to produce inaccurate, biased and, over time, highly erratic capital requirements.