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Several strategies for the management of venous congestion of the nipple–areola complex (NAC) after reduction mammaplasty have been proposed. Among these, hirudotherapy represents an ancient but still effective method, even though the risk of infections related to leeches should be considered. We report a peculiar case of breast infection and sepsis after leech therapy in a patient who underwent a reduction mammaplasty. A prompt surgical debridement of the wounds and necrotic tissues associated with targeted antibiotic therapy led to a fast improvement of clinical conditions, and partial preservation of the NAC was obtained. Accurate knowledge of the clinical presentation of soft tissue infections related to leeching allows for an early diagnosis and would serve as a warning for surgeons who approach such breast cosmetic procedures.

Differently from conventional procedures, the proposed solution advocates for a groundbreaking paradigm in water quality monitoring through the integration of satellite Remote Sensing data, Artificial Intelligence techniques, and onboard processing. While conventional procedures present several drawbacks mainly related to late intervention capabilities, the objective of what proposed is to offer nearly real-time detection of contaminants in coastal waters addressing a significant gap in the existing literature and allowing fast alerts and intervention. In fact, the expected outcomes include substantial advancements in environmental monitoring, public health protection, and resource conservation. Namely, the specific focus of our study is on the estimation of Turbidity and pH parameters, for their implications on human and aquatic health. Nevertheless, the designed framework can be extended to include other parameters of interest in the water environment and beyond. Originating from our participation in the European Space Agency OrbitalAI Challenge, this article describes the distinctive opportunities and issues for the contaminants' monitoring on the $\Phi$sat-2 mission. The specific characteristics of this mission, with the tools made available, will be presented, with the methodology proposed by the authors for the onboard monitoring of water contaminants in near real-time. Preliminary promising results are presented, along with an introduction to ongoing and future work.

Fire models are categorised as zone models and field models. Field models excel in accuracy, whereas zone models outperform field models in terms of computational time and cost efficiency. Through comparison between Consolidated Fire and Smoke Transport (CFAST), representing zone models, and Fire Dynamics Simulator (FDS), a benchmark field model, the research discussed in this paper investigates the feasibility of employing zone models to predict the consequences of a potential fire scenario on an accommodation deck of a reference small passenger ship. Such a comparison is the first attempt to study the differences between the two modelling techniques for cruise ships. The findings of this research indicate that CFAST predictions align well with FDS results in the room of fire origin, the cabin. However, the agreement between CFAST and FDS results gradually weakens when continuous spaces are modelled as contiguous compartments like in connected corridors. This study suggests that zone models can serve as a tool for conducting fast conservative comparisons between established rule-based designs and potential alternative designs, particularly concerning the life safety of crew and passengers of small passenger ships. Such simplified models adapt well to their possible future application to extensive safety risk analyses for passenger ships.

Installation of jacket platforms requires simultaneous and combined operations of multiple assets. Once the whole process has to be planned, it is necessary to predict in a fast and reliable way the possible weather limitations that may occur during the operations. The paper will present the major challenges of this unusual and innovative Dynamic Positioning analysis which has been carried out for Ana Jacket installation. The obtained results show that the Dynamic Positioning system of the core vessel in intact configuration is capable to hold the position for the investigated vessels' arrangements and design operative weather conditions. Lifting, upending and installation of Ana Jacket were carried out successfully in 2021.

The prediction of the statutory attained subdivision index is a challenging issue for the initial design of ships due to the design freedom offered by a probabilistic damage stability assessment. To this end, optimisation techniques integrated with a parametric model of the internal layout may generate a preliminary subdivision design, fulfilling damage stability regulations and cargo volume requirements. The present study explores using a multi-objective constrained optimisation algorithm coupled with a parametric model of a single hold cargo vessel, first investigating two design goal alternatives and secondly performing a global sensitivity analysis on the design variables for the most promising solution. The adoption, in parallel, of state-of-the-art practices shows the validity of the obtained solutions and the time benefits for designers. Nonetheless, the non-linear nature of probabilistic damage stability does not allow for clearly identifying the most impactful parameters on the attained survivability index.

Background:. The real benefit of using drains for reducing the risk of complications in sentinel lymph node biopsy (SLNB) has not been investigated yet. We aimed to evaluate the role of drain after SLNB and to determine if a correlation exists between drains and early complications. Methods:. This is a retrospective study of patients who underwent SLNB for melanoma from 2016 to 2021. Patients were dichotomized into two groups according to the use of drain. The between-group comparison (drainage group versus no drainage group) was performed by using Mann-Whitney U test and chi-square test. A regression analysis was conducted to identify predictors of complications. Results:. Of 218 individuals analyzed, 18 (8.4%) had postoperative complications. The most common complications were seroma (5.1%) and wound dehiscence (1.4%). The between-group analysis showed no significant differences in complication rate, whereas the operative time was significantly higher in the drainage group (P = 0.007), as well as the hospital stay (P ≤ 0.0001) and the duration of postoperative antibiotic therapy (P = 0.02). The regression analysis found body mass index and multiple basins of SLNB (axilla with groin) to be significant predictors of having a complication (P = 0.03 and P = 0.05, respectively). The operative time was found to be a predictor of seroma (P = 0.04). Conclusions:. Drainage use in SLNB prolonged hospital stays and duration of postoperative antibiotic therapy, thus resulting in higher costs. The preemptive use of drainage is suggested in selected settings of patients.

The importance of comfort during transfer and stationing becomes a key performance parameter for large yacht design, on the same level as propulsive issues. Such a matter extends questions in terms of form and service demand to the motion behaviour of the unit in waves. Relevant studies refer to outdated hull forms not specific to modern large yachts. In this study, five hull forms with different bow concepts represent the most common design solutions for yachts at constant draught and displacement. The preliminary ranking on the effect of alternative bows on comfort requires the definition of internationally accepted comfort standards. Here, the AWI 22834 guidelines for large yachts provide the service and environmental conditions and criteria for the comfort analysis, being the only reference specific to yachts. The calculations employ a strip-theory-based numerical model to provide results of easy understanding for designers during the early design stage. The obtained ranking among the design solutions on a reference large yacht favours the option nested with a bulb, contradicting the expectations in favour of a vertical bow concept. The discussion and conclusions provide a way forward for additional analyses and investigations aimed at proposing suitable multicriterial design guidelines for large yachts. However, the results also show the unsuitability of AWI environmental and encounter conditions for hull form ranking.

In naval architecture, the standard way adopted to reduce the risk of potential loss of life for passenger ships after an accident is via regulations. In case of flooding, this explicitly implies the introduction of fixed watertight bulkheads, permanently modifying the internal ship’s layout. Damage stability regulations constantly aim at higher safety standards; therefore, the layout reconfiguration of an existing vessel may be essential to meet new requirements, leading to higher costs for retrofitting. Furthermore, increasing fragmentation of the internal layout has a physical limit, neglecting the possibility to elevate standards above a particular upper limit. In this view, innovative solutions give the chance to exceed such a limit. The present work describes the advantages of high-expansion foam application for passive and active protection from flooding events. The possibility to have a material granting sufficient water tightness allows installing fixed or deployable barriers that increase the safety level of the ship. Here, besides the description of the foam characteristics, the application on a reference passenger ship highlights the advantages of passive and active foam barriers to limit flooding and drastically reduce the risk of loss of lives. The changes in the limiting stability margins required by regulations and the analysis of dynamic flooding simulations for specific damage cases demonstrate the benefits of foam installation onboard passenger ships as a risk control option.

The paper complements an earlier publication by the authors addressing the probability of survival in the IMO framework for damage stability assessment, the s-factor. The focus here is on the probability of occurrence of a certain damage scenario (breach), conditional on its dimensions and location (centre and port or starboard side), the p-factor. Pertinent assumptions and limitations are explained, following its evolution for specific application to passenger ships. Attempts to provide analytical descriptions of the damage breach distributions as tetrahedra shapes positioned along the ship length whilst accounting for changes in ship geometry, structural arrangements, and subdivision for consumption by the wider profession has led to misconceptions and misunderstandings of what exactly the p-factor is in the context of probabilistic damage stability calculations. This is evidenced by the fact that the same original damage breach distributions, derived in Project HARDER, based on largely cargo ships with the age spread over the last three decades of the previous century, are still being used today for all ship types, including modern passenger ships. Filling this gap, a new database for passenger ships developed in the EC-funded Project FLARE, is briefly presented, leading to new damage breach distributions specifically for passenger ships. It is believed that this paper will throw considerable light in enhancing understanding on the p-factor, which has been cluttered with unnecessary complexity from the outset.

Sustainable mobility is one of the most challenging issues for passenger transport inside environmental protected areas and ecologically fragile environments. To reduce the pollutant emissions, the adoption of electric or hybrid-electric solutions for crafts propulsion is a suitable option for green navigation. However, the operation in restricted basin leads also to specific critical issues for the vessel sailing, as dealing with shallow or restricted waters and transit under low air-gap bridges. The combination of these constraints with the adoption of a hybrid-electric propulsion system increases the design difficulties also for a small craft, requiring the use of advanced simulation models to assess the vessel performances. This work presents a simulation model for a small passenger craft that will operate in the Grado Lagoon. The model combines the hydrodynamic issues of manoeuvring and propulsion in restricted water with the simulation of the electric loads and capacity of the energy storage system installed onboard. The simulations performed with the developed simulation system are in accordance with data measured during trials on a prototype of the vessel. The developed model is a powerful tool for designers in order to rapidly assess the green capabilities of new projects since the early design stages.

Scrubber systems abate the sulphur oxide emissions of engines when cheap fuel oils that are high in sulphur content are employed as combustibles. However, the ships with these voluminous devices installed on board is space demanding. This work analyses the feasibility of incorporating the acoustic abatement of the exhaust gas noise functionality into the scrubber design to provide a combined scrubber–silencer system. For this purpose, a finite element analysis is performed on a simple expansion chamber, which is assessed using both analytical and experimental data. The transmission loss is the acoustic parameter chosen in this work. The numerical model depicts a good correlation with the transmission loss measured on a model scale scrubber. Finally, scrubber geometry modifications alter the transmission loss, changing and/or enhancing its featuring. These abilities indicate the feasibility to confer to scrubber silencing effects.

The analysis of time records, coming from seakeeping experiments in irregular waves, is used to determine the occurrence of extreme events. The common procedure used for data analysis is to assume that the statistics of record’s peaks is following two or three parameters Weibull distribution. For particularly severe sea states it can happen that the peaks assume a multi-modal distribution. In this case, a Weibull distribution is not suitable, also in the three parameters form, to reproduce the peaks population. That means some errors in the estimate of the extreme loads may occur, affecting consequently the vessel/structure design process. To overcome this source of error it is possible to use multi-modal distributions, or to change the peaks extraction technique, adopting a certain threshold. By using this second approach data should be fitted according to a Generalised Pareto distribution. Based on this theory, a data analysis procedure including the threshold selection is here proposed and tested on a set of time records coming from seakeeping model-scale experiments. The results are then compared with the standard Weibull approach.

Nowadays, sustainable navigation is becoming a trending topic not only for merchant ships but also for pleasure vessels such as motoryachts. Therefore, the adoption of a hybrid-electric propulsion system and the installation of on-board storage devices could increase the greenness of a megayacht. This paper analyses the performance of three commercial propulsive solutions, using a dynamic operative profile and considering the influences of the smart berthing infrastructures. Results compare the yearly fuel consumptions of the analysed configurations for a reference megayacht.

The aim of this concept paper is the description of a new tool to support institutions in the implementation of targeted countermeasures, based on quantitative and multi-scale elements, for the fight and prevention of emergencies, such as the current COVID-19 pandemic. The tool is a cloud-based centralized system; a multi-user platform that relies on artificial intelligence (AI) algorithms for the processing of heterogeneous data, which can produce as an output the level of risk. The model includes a specific neural network which is first trained to learn the correlations between selected inputs, related to the case of interest: environmental variables (chemical–physical, such as meteorological), human activity (such as traffic and crowding), level of pollution (in particular the concentration of particulate matter) and epidemiological variables related to the evolution of the contagion. The tool realized in the first phase of the project will serve later both as a decision support system (DSS) with predictive capacity, when fed by the actual measured data, and as a simulation bench performing the tuning of certain input values, to identify which of them led to a decrease in the degree of risk. In this way, we aimed to design different scenarios to compare different restrictive strategies and the actual expected benefits, to adopt measures sized to the actual needs, adapted to the specific areas of analysis and useful for safeguarding human health; and we compared the economic and social impacts of the choices. Although ours is a concept paper, some preliminary analyses have been shown, and two different case studies are presented, whose results have highlighted a correlation between NO2, mobility and COVID-19 data. However, given the complexity of the virus diffusion mechanism, linked to air pollutants but also to many other factors, these preliminary studies confirmed the need, on the one hand, to carry out more in-depth analyses, and on the other, to use AI algorithms to capture the hidden relationships among the huge amounts of data to process.

The design of a small passenger craft for Venice is presented. The paper deals with hydrodynamic aspects mainly concerning resistance prediction in shallow water for subcritical, critical and supercritical regimes. Open Literature usually provides methods for the subcritical regime only. Here, a procedure for the estimation of added resistance in subcritical, critical and supercritical regimes is presented within the slender body approximation. The developed procedure is suitable to be used in the early design stage to predict a preliminary speed-power curve. A test case based on the designed halfdisplacement craft is thoroughly exposed.

Nowadays, fire-doors optimization is approached by using consolidated design guidelines and traditional materials, such as rock wool. Then, selected solution is directly tested in a mandatory fire-test. Unfortunately, few pieces of information could be retrieved either if the test succeeds or fails, which makes both improvements in the design and use of innovative materials difficult. Thus, in this work, a self-consistent finite element method (FEM) analysis is developed and assessed against experimental fire-test results, highlighting the critical parameters affecting the numerical simulations. Using this tool, a new fiberglass-containing foam, with improved acoustic and mechanical properties, as compared to the rock-wool, is studied as a potential insulating material for on-board fire-doors. The assessment of the performance of the new material demonstrates that, contrary to common believe, the effective thermal insulation capacity is not necessarily the critical factor in determining the fire-resistance of a fire-door. Using the validated FEM analysis, it has been proven that the reduction of the thermal bridges originated at the door edges allows, firstly, for the attainment of a fire-door 37% thinner and 61% lighter with respect to a traditional one, and, secondly, the use of new material as insulator in fire-doors that, even if less thermally capable, could improve other properties of the door, as an example its soundproofing.

The need for decision support after a flooding casualty requires the development of fast and accurate progressive flooding simulation procedures. Here, a new quasi-static technique is presented, proposing a differential algebraic formulation capable to consider independently the flooding process in the internal rooms. The proposed method is efficient while simulating long flooding chains along rooms connected by similar size openings, a condition that likely occurs on large passenger ships. Moreover, the computational performances of the simulation procedure have been enhanced by adapting the time step to the progressive flooding pace. The adoption of an adaptive time step algorithm reduces significantly the calculation time. The novel procedure has been tested on the recommended benchmark cases for flooding simulations, highlighting the accuracy and flexibility of the proposed method.

There is a brief description of the unique relation between the railway system, whose main actor is Ferrovie dello Stato (Italian State Railways) and the cultural and archaeological heritage on the national territory. That relation dates back to the period during which the railway was introduced in Italy, before the unification of Italy. As the country developed that relationship became more intense and it started to play a key role during the works for the High Speed/High Capacity (AV/AC) lines. Those works were fundamental as they led to findings and helped the conservation and promotion of important archaeological findings, that was something really innovative. In conclusion it is advisable to reflect upon this in order to find, after positive experiences, one more serious line of action for Ferrovie dello Stato for the safeguard and the use of artistic, architectonic and archaeological heritage placed along the railways.

The railways, like all other types of linear transport infrastructures (highways, motorways, waterways, pipelines, power lines, etc., and even sheep tracks in our not to distant past) cross the country and interact with the environment. More often than not, this interaction due to transport modalities has a “negative” connotation because of the impact on the environment of the infrastructure as such and associated effects due to: noise and vibrations, atmospheric pollution, emission of greenhouse gases, accidents, and traffic congestion. If we analyse the effects of the various transport modalities in terms of their comparative external costs (the social and economic costs of the environmental impact), we can see that, from a quantitative point of view, the railways are the most ecologically compatible modality. This kind of analysis should be improved by taking into consideration other effects such as those due to land use, fragmentation of landscape, and effects on the cultural and architectural heritage. To illustrate this approach, the birth and early period of railways in the city of Roma and in the Roman Campagna, and the evolution of the great station of Roma Termini, are briefly reviewed and discussed. In this way, important elements are evidenced; inter alia: the continuing interaction in such a historically ancient urban and suburban settlement due to transport infrastructures (from ancient Roman roads and aqueducts to modern motorways and railways); the large variety of architectural and archaeological structures (including the artistic and landscaping aspects) affected by the interaction; the frequent occurrence of architectonic objects marking the urban landscape in a such a way that the site appears peculiarly recognizable (for instance, the Servian Walls Aggere for the central station of Roma Termini). Finally, the archaeological sites discovered during the construction works of new High Speed Train (TAV) lines are briefly considered especially as far as the recognition, study, protection, and fruition of these sites are concerned. This excursus suggests that railways can support the experimentation and introduction of innovative technologies with the aim of further increasing their ecological and cultural compatibility and enhancing their contribution to environmental and social sustainability.

Several strategies for the management of venous congestion of the nipple–areola complex (NAC) after reduction mammaplasty have been proposed. Among these, hirudotherapy represents an ancient but still effective method, even though the risk of infections related to leeches should be considered. We report a peculiar case of breast infection and sepsis after leech therapy in a patient who underwent a reduction mammaplasty. A prompt surgical debridement of the wounds and necrotic tissues associated with targeted antibiotic therapy led to a fast improvement of clinical conditions, and partial preservation of the NAC was obtained. Accurate knowledge of the clinical presentation of soft tissue infections related to leeching allows for an early diagnosis and would serve as a warning for surgeons who approach such breast cosmetic procedures. [ABSTRACT FROM AUTHOR]