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Activity pacing (AP) is a concept that is central to many chronic pain theories and treatments, yet there remains confusion regarding its definition and effects.To review the current knowledge concerning AP and integrate this knowledge in a manner that allows for a clear definition and useful directions for future research.A narrative review of the major theoretical approaches to AP and of the empirical evidence regarding the effects of AP interventions, followed by an integrative discussion.The concept of AP is derived from 2 main traditions: operant and energy conservation. Although there are common elements across these traditions, significant conceptual and practical differences exist, which has led to confusion. Little empirical evidence exists concerning the efficacy of AP as a treatment for chronic pain.Future research on AP should be based on a clear theoretical foundation, consider the context in which the AP behavior occurs and the type of pacing problem ("underactivity" vs. "overactivity"), and should examine the impact of AP treatment on multiple clinical outcomes. We provide a provisional definition of AP and specific recommendations that we believe will move the field forward.

Systemic delivery of therapeutic agents remains ineffective against diffuse intrinsic pontine glioma (DIPG), possibly due to an intact blood-brain-barrier (BBB) and to dose-limiting toxicity of systemic chemotherapeutic agents. Convection-enhanced delivery (CED) into the brainstem may provide an effective local delivery alternative for DIPG patients.The aim of this study is to develop a method to perform CED into the murine brainstem and to test this method using the chemotherapeutic agent carmustine (BiCNU). To this end, a newly designed murine CED catheter was tested in vitro and in vivo. After determination of safety and distribution, mice bearing VUMC-DIPG-3 and E98FM-DIPG brainstem tumors were treated with carmustine dissolved in DW 5% or carmustine dissolved in 10% ethanol.Our results show that CED into the murine brainstem is feasible and well tolerated by mice with and without brainstem tumors. CED of carmustine dissolved in 5% DW increased median survival of mice with VUMC-DIPG-3 and E98FM-DIPG tumors with 35% and 25% respectively. Dissolving carmustine in 10% ethanol further improved survival to 45% in mice with E98FM-DIPG tumors.Since genetically engineered and primary DIPG models are currently only available in mice, murine CED studies have clear advantages over CED studies in other animals.CED in the murine brainstem can be performed safely, is well tolerated and can be used to study efficacy of chemotherapeutic agents orthotopically. These results set the foundation for more CED studies in murine DIPG models.

Decentralized detection in a network of wireless sensor nodes involves the fusion of information about a phenomenon of interest (PoI) from geographically dispersed nodes. In this paper, we investigate the problem of binary decentralized detection in a dense and randomly deployed wireless sensor network (WSN), whereby the communication channels between the nodes and the fusion center are bandwidth-constrained. We consider a scenario in which sensor observations, conditioned on the alternate hypothesis, are independent but not identically distributed across the sensor nodes.We compare two different fusion architectures, namely, the parallel fusion architecture (PFA) and the cooperative fusion architecture (CFA), for such bandwidthconstrained WSNs, where each sensor node is restricted to send a 1-bit information to the fusion center. For each architecture, we derive expression for the probability of decision error at the fusion center. We propose a consensus flooding protocol for CFA and analyze its average energy consumption. We analyze the effects of PoI intensity, realistic link models, consensus flooding protocol, and network connectivity on the system reliability and average energy consumption for both fusion architectures. We demonstrate that a trade-off exists among spatial diversity gain, average energy consumption, delivery ratio of the consensus flooding protocol, network connectivity, node density, and PoI intensity in CFA. We then provide insight into the design of cooperative WSNs.

In this study, air concentrations of BaP in two different seasons (winter 2015 and summer 2016) and BaP levels in ground vegetation from Tarragona County were used as control simulations performed with the WRF-CHIMERE air quality modelling system, in order to reproduce the incidence of that hazardous chemical in air and soils. The CTM was validated for the present climatology, showing a good ability to represent air and soil concentrations of BaP over the target domain (petrochemical, chemical, urban and background sites), particularly in the winter. Then, the variation of the BaP concentrations in air and soils were simulated for the time series 1996-2015 and for the climate change scenario RCP8.5 (2031-2050). While an increase is projected for the levels in air, particularly in chemical and remote sites where the variation can go up to 10%, in terms of soil deposition the findings are the opposite, with an evident decrease in soil BaP concentrations, particularly for background sites. Finally, a potential health effect of BaP for the local population (lung cancer) was assessed. Although according to the projections the EU threshold for BaP atmospheric incidence (1 ng m-3) will not be reached by 2050, there will be an increase in the life-time risk of lung cancer, particularly in the most populated areas within the simulation domain.

Wood biomass is turned into industrial fuel through chipping. The efficiency of chipping depends on many factors, including chipper knife wear. Chipper knife wear was determined through a long-term follow-up study, conducted at a waste wood recycling yard. Knife wear determined a sharp drop of productivity (>20%) and a severe decay in product quality. Dry sharpening with a grinder mitigated this effect, but it could not replace proper wet sharpening. Increasing the frequency of wet sharpening sessions determined a moderate increase of knife depreciation cost, but it could drastically enhance machine performance and reduce biomass processing cost. Since benefits largely exceed costs, increasing the frequency of wet sharpening sessions may be an effective measure for reducing overall chipping cost. If the main goal of a chipper operator is to increase productivity and/or decrease fuel consumption, then managing knife wear should be a primary target. (C) 2014 Elsevier Ltd. All rights reserved.

Alternative fuels and energy vectors are becoming increasingly important in terms of technical, geopolitical, economic, and environmental aspects. In particular, gaseous fuels and vectors, such as fossil or synthetic natural gas (NG) blended with hydrogen, commonly help provide optimal strategies to reduce global and toxic emissions of internal combustion engines, owing to their adaptability, anti-knock capacity, lower toxicity of pollutants, reduced CO2 emissions, and costeffectiveness. However, diesel engines still represent the reference category among internal combustion engines in terms of maximum thermodynamic efficiency. The possibility offered by dual-fuel (DF) systems to combine the efficiency and performance of diesel engines with the environmental advantages of gaseous fuels has been the subject of extensive investigations. However, the simple replacement of diesel fuel with gaseous fuel does not allow for optimising the engine performance, owing to the high percentage of unburned gaseous fuel, which compromises the potential reduction of CO2; therefore, more complex combustion strategies should be realised. In this study, with the aim of improving the DF combustion process, an experimental investigation was performed to analyse low-temperature combustion (LTC), using NG and two enriched hydrogen-compressed NG blends as primary fuels. The LTC mode was activated by means of a very early advanced pilot injection and carried out in two close steps. The double pilot injection was used to control the energy release rate in the first combustion stage, thereby minimizing the increase of the rate of pressure and allowing the extension of the operation range under LTC. The experimental activity was also focused on analysing the particle emissions, as it is well known that these emissions, together with those of nitrogen oxide, constitute the main pollutants resulting from diesel fuel combustion. The results demonstrated the potential to reduce the unburned fuel, NOx, and particle emissions simultaneously, while maintaining equivalent CO2 emissions to a diesel-only engine. Both the timing and pressure of the pilot injection proved to be critical parameters for optimising the emissions and performance

The aeroelastic behavior of a flexible plate subjected to a uniform axial flow is investigated in the presence of a rigid plane set parallel to the plate. It is shown that the ground effect reduces the flutter inflow velocity and strengthens the possibility of using the flag for extracting energy from winds and currents. The numerical analysis is carried out assuming that both the unsteady potential incompressible flow and the plate can be described with 2D models, i.e., a lumped vortex panel method and a nonlinear Euler-Bernoulli beam model, respectively, without losing the essential features of the fluid-structure interaction. Asymmetry of post-critical behavior (limit-cycle oscillations) and sensitivity of the results to the main flag parameters (distance from the ground, mass ratio and damping) are also considered, including also the energy distribution over the identified proper orthogonal modes. The investigated reduction of the flutter velocity in ground effect has been also confirmed with experimental tests relative to a polypropylene flag with and without the rigid panel mimicking the presence of the ground.

Clean combustion technologies, based on reactant dilution, have shown very peculiar and innovative characteristics. Reduction of light and noise emission and uniformity of temperature and composition distribution inside the combustion chamber, related to an extension of the reaction zone, make these processes very promising in several technological fields. Analysis of combustion in very diluted conditions is needed for a general understanding of these processes, which remain unknown from many aspects. The study is also useful for the identification of practical constraints which define the most suitable reactor configurations and working parameters for process reliability. The present work deals with a theoretical analysis of methane oxidation in diluted conditions using one of the detailed kinetic schemes available in the literature. A well-stirred reactor (WSR) configuration has been considered as a first attempt of process schematization. This choice is consistent with the experimental characterization of the flameless combustion processes. The influence of residence time, C/O ratio, and inlet temperature on the steady state was studied for an oxygen molar fraction (0.05), chosen as representative of flameless combustion processes. It has been pointed out that only rich conditions (C/O ? 0.25) are possible for WSR creation, because they allow partial methane conversion. Three kinetic regimes, related to different temperature ranges, have been identified on the basis of product distribution analysis. Both the oxidation and pyrolitic regimes, occurring respectively in low- and high-temperature ranges, are the most interesting working conditions for diluted combustion. The former, leading to CO and H2O as main reaction products, is suitable for reburning technology. The latter, which corresponds to large production of CO and H2, has been shown to be a reasonable explanation of flameless combustion. Advantages and potentials of this innovative process are analyzed, taking into account the kinetic pathway followed in the different working conditions.