Search results for "Dynamic"
showing 10 items of 12329 documents
L’analisi delle politiche di riduzione dei cesarei attraverso il dynamic performance management: La valutazione del percorso nascita in un’azienda sa…
2018
Da tre decenni l'Organizzazione Mondiale della Sanità considera appropriata una percentuale di cesarei tra il l 0-1 5%. Tuttavia, molti Paesi tuttora si trovano a fronteggiare valori molto più elevati e le politiche adottate dai decisori pubblici spesso mostrano di essere poco efficaci. Il presente lavoro prende avvio dall'analisi del percorso nascita introdotto in Sicilia e propone il ricorso all'approccio del Dynamic Performance Management per investigare le cause sottostanti l'andamento dei parti cesarei. Lo studio ha consentito di costruire un modello di System Dynamics, successivamente personalizzato con i dati di un'azienda sanitaria. L'analisi dei risultati delle simulazioni evidenzi…
Framing Caesarean Section Reduction Policies Through a Dynamic Performance Management Approach: A Maternity Pathway Case-Based Analysis
2017
The World Health Organization since the last three decades strongly encourages countries to reduce the caesarean section (CS) rate down to 10–15%. However, this goal nowadays appears still far from its achievement. Public decision-makers are indeed struggling to design and implement effective policies to reduce the CS rate. The literature provides a wide range of factors causing a change in the CS rate, such as the patient clinical profile and the healthcare service quality provided. Maternity pathway (MP) is considered a mean through which to standardize the cares and to reduce CSs. This study investigates the MP recently introduced in Sicilian local health authorities. Based on such an an…
Molluscan Shell Proteins: Primary Structure, Origin, and Evolution
2007
In the last few years, the field of molluscan biomineralization has known a tremendous mutation, regarding fundamental concepts on biomineralization regulation as well as regarding the methods of investigation. The most recent advances deal more particularly with the structure of shell biominerals at nanoscale and the identification of an increasing number of shell matrix protein components. Although the matrix is quantitatively a minor constituent in the shell of mollusks (less than 5% w/w), it is, however, the major component that controls different aspects of the shell formation processes: synthesis of transient amorphous minerals and evolution to crystalline phases, choice of the calciu…
Where Is the Most Hydrophobic Region? Benzopurpurine Self-Assembly at the Calcite–Water Interface
2017
Control of molecular self-assembly at solid–liquid interfaces is challenging due to the complex interplay between molecule–molecule, molecule–surface, molecule–solvent, surface–solvent, and solvent–solvent interactions. Here, we use in-situ dynamic atomic force microscopy to study the self-assembly of Benzopurpurine 4B into oblong islands with a highly ordered inner structure yet incommensurate with the underlying calcite (10.4) surface. Molecular dynamics and free energy calculations provide insights by showing that Benzopurpurine 4B molecules do not anchor to the surface directly but instead assemble on top of the second hydration layer. This seemingly peculiar behavior was then rationali…
Three-dimensional hydration layer mapping on the (10.4) surface of calcite using amplitude modulation atomic force microscopy
2014
Calcite, the most stable modification of calcium carbonate, is a major mineral in nature. It is, therefore, highly relevant in a broad range of fields such as biomineralization, sea water desalination and oil production. Knowledge of the surface structure and reactivity of the most stable cleavage plane, calcite (10.4), is pivotal for understanding the role of calcite in these diverse areas. Given the fact that most biological processes and technical applications take place in an aqueous environment, perhaps the most basic - yet decisive - question addresses the interaction of water molecules with the calcite (10.4) surface. In this work, amplitude modulation atomic force microscopy is used…
A new simple approach to evaluate pedogenic clay transformation in a Vertic Calcisol
2006
The aim of this study is to characterize the pedogenic clay minerals by using simple approach: Mixing mineralogical and geochemical findings. The fine clay fractions (< 0.1 μm) of a Vertic Cambisol profile were studied by means of X-ray diffraction (XRD), infrared spectroscopy (FTIR) and cation exchange capacity (CEC). Qualitative and quantitative mineralogical compositions of the clay mixture were determined. Moreover, chemical equilibria and thermodynamic stabilities of minerals (calcite, gypsum, kaolinite, smectites and illites) were studied using results of ionic activities obtained from total concentration of various aqueous species in water extracts from soil-saturated pastes. XRD ana…
Pore scale modelling of calcite cement dissolution in a reservoir sandstone matrix
2019
E3S Web of Conferences 98, 05010 (1-5) (2019). doi:10.1051/e3sconf/20199805010
PHEA-graft-polymethacrylate supramolecular aggregates for protein oral delivery
2013
Abstract Salmon calcitonin (sCT) is characterized by a poor oral availability. A new copolymer, β-poly(N-2-hydroxyethyl)-graft-{N-2-ethylene[2-poly(methacrylic acid sodium salt)isobutyrate]}- d , l -aspartamide (PHEA-IB-p(MANa + )), was designed for the oral administration of sCT through the formation of supramolecular aggregates (SAs) based on electrostatic interactions. Several sCT/PHEA-IB-p(MANa + ) weight ratios were characterized by turbidimetry, DLS, zeta potential, and microscopy analysis. After the incubation of sCT/PHEA-IB-p(MANa + ) complex with digestive enzymes, 10% (w/w) of loaded sCT was released in the native form. In vitro investigation was carried out to determine the copol…
Experimental study of Si–Al substitution in calcium-silicate-hydrate (C-S-H) prepared under equilibrium conditions.
2009
International audience; C-A-S-H of varying Al/Si and Ca/(Al+Si) ratios have been prepared introducing C-S-H (Ca/Si=0.66 and 0.95) at different weight concentrations in a solution coming from the hydration of tricalcium aluminate (Ca3Al2O6) in water. XRD and EDX (TEM) analyses show that using this typical synthesise procedure, pure C-A-S-H is obtained only for calcium hydroxide concentrations below 4.5 mmol L−1. Otherwise, calcium carboaluminate or strätlingite is also present beside C-A-S-H. The tobermorite-like structure is maintained for C-A-S-H. A kinetic study has shown that the formation of C-A-S-H is a fast reaction, typically less than a few hours. The Ca/(Al+Si) ratio of C-A-S-H mat…
Influence of compliance for an elastokinematic model of a proposed rear suspension
2014
The research is carried out to improve passenger’s comfort to increase the vehicles stability in dynamic conditions. The literature available in the automotive engineering considers different topics for studying suspensions. An example represents mechanisms structure and analysis (synthesis, kinematics, and dynamics) under various operating conditions. These aspects have been approached before analytically, numerical. The current paper studies the influence of the lateral force on the contact patch of the wheel and the corresponding variations of vehicle stability parameters, such as camber angle and wheel rear track. The study is performed for a newer innovative rear suspensions mechanism …