Effects of urban catchment characteristics on combined sewer overflows.

Pollution from Combined Sewer Overflows (CSOs) cause diffuse environmental problems, which are still not satisfactorily addressed by current management practices. In this study, a sensitivity analysis was conducted on several CSO environmental impact indicators, with respect to parameters that characterise climate, urban catchment and the CSO structure activation threshold. The sensitivity analysis was conducted by running 10000 simulations with the Storm Water Management Model, using a simplified modelling approach. The indicators were calculated at yearly scale to evaluate overall potential effects on water bodies. The results could be used to estimate pollution load ranges, known the values of the input parameters, and to investigate suitable strategies to reduce pollution of the receiving water bodies. The percentage of impervious surface of the catchment was found the most influent parameter on all the indicators, and its reduction can contain the discharged pollutant mass. The activation threshold, instead, resulted the second least influent parameter on all the indicators, suggesting that its regulation alone would not be a suitable strategy to reduce CSO pollution. However, along with the reduction of the imperviousness, its increase could effectively decrease the concentration of pollutant in the overflow. The results also indicate that neither adopting sustainable urban drainage practices, nor interventions on the CSO device, significantly affect the frequency of the overflows. Therefore, restricting this latter was found to be ineffective for the reduction of both the discharged pollutant mass and the concentration of pollutant in the overflow.

A soft supernumerary hand for rehabilitation in sub-acute stroke: a pilot study.

In patients with subacute stroke, task specific training (TST) has been shown to accelerate functional recovery of the upper limb. However, many patients do not have sufficient active extension of the fingers to perform this treatment. In these patients, here we propose a new rehabilitation technique in which TST is performed through a soft robotic hand (SoftHand-X). In short, the extension of the robotic fingers is controlled by the patient through his residual, albeit minimal, active extension of the fingers or wrist, while the patient was required to relax the muscles to achieve full flexion of the robotic fingers. TST with SoftHand-X was attempted in 27 subacute stroke patients unable to perform TST due to insufficient active extension of the fingers. Four patients (14.8%) were able to perform the proposed treatment (10 daily sessions of 60 min each). They reported an excellent level of participation. After the treatment, both clinical score of spasticity and its electromyographic correlate (stretch reflex) decreased. In subacute stroke patients, TST using SoftHand-X is a well-accepted treatment, resulting in a decrease of spasticity. At present, it can be applied only in a small proportion of the patients who cannot perform conventional TST, though extensions are possible.