Search results for "RAIL"

Frailty and Mortality Outcomes After Percutaneous Coronary Intervention: A Systematic Review and Meta-Analysis.

2017

Abstract Background Frailty has been identified as a risk factor for mortality. However, whether frailty increases mortality risk in patients undergoing percutaneous coronary intervention (PCI) has been controversial. Therefore, we conducted a systematic review and meta-analysis of the frailty measures and mortality outcomes in this setting. Methods PubMed and EMBASE were searched until July 23, 2017 for studies evaluating the association between frailty measures and mortality in individuals who have undergone PCI. Results A total of 141 entries were retrieved from our search strategy. A total of 8 studies involving 2332 patients were included in the final meta-analysis (mean age: 69 years;…

Effects of 12-month home-based physiotherapy on duration of living at home and functional capacity among older persons with signs of frailty or with …

2018

Health concerns, such as frailty and osteoporotic fractures decrease functional capacity and increase use of health and social care services in the aging population. The ability to continue living at home is dependent on functional capacity, which can be enhanced by rehabilitation. We study the effects of a 12-month home-based physiotherapy program with 12-month follow-up on duration of living at home, functional capacity, and the use of social and health care services among older persons with signs of frailty, or with a recently operated hip fracture. This is a non-blinded, parallel group, randomized controlled trial performed in South Karelia Social and Health Care District, Finland (popu…

Numerical study for a new methodology of flaws detection in train axles

2013

Train loads and travel speeds have increased over time, requiring more efficient non-destructive inspection methods. Railway axles are critical elements; despite being designed to last more than 20 years several cases of premature failure have been recorded. Train axles are inspected regularly, but the limits associated to the traditional inspection technologies create a growing interest towards new solutions. Here a novel non-destructive inspection method of in-service axles based on non-contact data collection is presented. The propagation of surface waves, generated by a thermo-elastic laser source, is investigated using a finite element method based on dynamic explicit integration. Coup…

Characterization of rubberized asphalt for railway sub-ballast. Improvements in the mix-design, performance features and rational methodology of HMA_…

2018

(STR) can be incorporated into asphalt mixtures in two different methods, which are referred to as the wet-dry process. The blending of recycled rubber (CRM) with asphalt has been used for years, and several manufacturing processes have been developed in Europe as well as in the USA. The use of a bituminous sub-ballast layer has been pointed out as an exciting alternative to the granular sub-ballast design traditionally applied in most railroad tracks. Frequently, unbound granular materials are replaced by bituminous sub-ballast that provide additional benefits to the subgrade protection. Much research has been conducted on finding other alternative material to be used as a modifier in asph…

CHARACTERIZATION OF RUBBERIZED ASPHALT FOR RAILWAY SUB-BALLASTS

Tesi di dottorato sotto la supervisione del professore Gaetano di Mino del Dipartimento di Ingegneria Civile di Palermo), come borsista Marie-Curie all'interno del progetto SUPRITN 2013/2017. Il mio lavoro e la linea della ricerca riguarda i conglomerati bituminosi con granulato di gomma per lo strato di sub-ballast nelle linee ferroviarie. L’attività di ricerca comprende il mix-design dell’asfalto con aggiunta di gomma, la caratterizzazione e le prestazioni per la ferrovia in termini di comportamento meccanico e lo smorzamento delle vibrazioni. In particolare con l’avvento dell’alta velocità, diversi studi hanno evidenziato ottime caratteristiche fisico-meccaniche per ciò che riguarda il c…

Laser ultrasonics for defect evaluation on coated railway axles

2020

Abstract This scientific paper focuses on the application of an advanced non-destructive technique for an effective inspection of railway axles. The method pertains to ultrasonic techniques, which are widely used in the railway field. The experimental investigation was carried out on simulated defects tooled near the cross section reduction of the axle, in order to simulate fatigue cracks which, due to notch effect, can trigger crack propagation and axle failure. The aim of this research activity is to evaluate how efficiently the proposed technique detects defects and to verify its applicability to axles with a black coating for protection. In view of the experimental setup, comprising a p…

Spiral wave induced numerically using electrical stimulation and comparison with experimental results.

2010

Experiments in vitro on a Microelectrode Array (MEA) platform show that electrical stimulation can provoke the generation of spiral waves in cardiac tissue. Nevertheless, the conditions leading to this artificial fibrillation state remain unclear. In order to have a better understanding of this phenomenon, a numerical simulation study has been conducted. The results obtained with a two-dimensional FitzHugh-Nagumo model proved that it is possible to create spiral waves by adding a stimulation current under certain conditions, which are made explicit.

Nanovectorization of TRAIL with single wall carbon nanotubes enhances tumor cell killing

2015

International audience; Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL or Apo2L) is a member of the tumor necrosis factor (TNF) superfamily. This type II transmembrane protein is able to bound specifically to cancer cell receptors (i.e., TRAIL-R1 (or DR4) and TRAIL-R2 (or DR5)) and to induce apoptosis without being toxic for healthy cells. Because membrane-bound TRAIL induces stronger receptor aggregation and apoptosis than soluble TRAIL, we proposed here to vectorize TRAIL using single-walled carbon nanotubes (SWCNTs) to mimic membrane TRAIL. Owing to their exceptional and revolutional properties, carbon nanotubes, especially SWCNTs, are used in a wide range of physical or,…

A‐1210477 sensitizes TRAIL-induced apoptosis in MDA-MB-231 Triple Negative Breast Cancer cells.

2018

Triple negative breast cancer (TNBC) is a form of BC characterized by high aggressiveness, therapy resistance, short time to relapse, poor prognosis. The presence of Cancer Stem Cells (CSCs) could be responsible for TNBC resistance to therapy, recurrence and metastasis, and might explain the difficult of its eradication. Mcl-1 is one of the key regulators of CSCs self-renewal and its expression can limit the efficacy of antitumorigenic agents as TRAIL, a selective anticancer agent but with limited effects against some cancer cell lines. Here we investigated the expression profiles of Mcl-1 in TNBC tissue and cell lines. We also evaluated the effect of A-1210477, a selective Mcl-1 inhibitor,…

How to enhance digital support for cross-organisational health care teams? A user-based explorative study

2020

Health care service provision of individualised treatment to an ageing population prone to chronic conditions and multimorbidities is threatened. There is a need for digitally supported care, that is, (1) person-centred, (2) integrated, and (3) proactive. The research project 3P, Patients and Professionals in Productive Teams, aimed to validate and verify the prerequisites for health care systems run with patient-centred service models. This paper presents an explorative study of the digital support of a cross-organisational health care team in Norway, providing services to elderly frail people with multimorbidities in hospital discharge transition. Qualitative research methods were employe…