Application of Advanced Design Methods to Multi-Objective Automobile Shape Optimization towards a New Paradigm Shift

Author(s):  
Kisun Song ◽  
Kyung Hak Choo ◽  
Dimitri N. Mavris
Cancers ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 2822
Author(s):  
Arnaud Martel ◽  
Sandra Lassalle ◽  
Alexandra Picard-Gauci ◽  
Lauris Gastaud ◽  
Henri Montaudie ◽  
...  

The management of periocular skin malignant tumours is challenging. Surgery remains the mainstay of treatment for localised eyelid cancers. For more locally advanced cancers, especially those invading the orbit, orbital exenteration has long been considered the gold standard; however, it is a highly disfiguring and traumatic surgery. The last two decades have been marked by the emergence of a new paradigm shift towards the use of ‘eye-sparing’ strategies. In the early 2000s, the first step consisted of performing wide conservative eyelid and orbital excisions. Multiple flaps and grafts were needed, as well as adjuvant radiotherapy in selected cases. Although being incredibly attractive, several limitations such as the inability to treat the more posteriorly located orbital lesions, as well as unbearable diplopia, eye pain and even secondary eye loss were identified. Therefore, surgeons should distinguish ‘eye-sparing’ from ‘sight-sparing’ strategies. The second step emerged over the last decade and was based on the development of targeted therapies and immunotherapies. Their advantages include their potential ability to treat almost all tumours, regardless of their locations, without performing complex surgeries. However, several limitations have been reported, including their side effects, the appearance of primary or secondary resistances, their price and the lack of consensus on treatment regimen and exact duration. The aim of this article was to review the evolution of the management of locally advanced periocular malignant tumours over the last three decades and highlight the new paradigm shift towards the use of ‘eye-sparing’ strategies.


2019 ◽  
Vol 14 (3) ◽  
pp. 497-506 ◽  
Author(s):  
J. N. Bhagwan ◽  
S. Pillay ◽  
D. Koné

Abstract The toilet-wastewater-pollution nexus – the provision of safe, hygienic and appropriate sanitation solutions – is an emerging, priority issue world-wide. Developed nations have followed a linear design approach to achieve their sanitation needs, with conventional waterborne systems continuously improved to meet more stringent control and pollution regulations while minimising the load on the natural environment. Developing countries, on the other hand, continue to struggle to implement such systems, due to a myriad of factors associated with financing, affordability and revenue, and thus rely heavily on on-site systems. On-site systems pose a different set of technical challenges related to their management, which is often overlooked in the developing world. Whereas, while technology strides increase in conventional sanitation processes towards zero-effluent, these come at a significant cost and energy requirement. Further, climate variability and water security put added pressure on the resources available for flushing and transporting human waste. A new paradigm for sanitation, proposed in this paper, introduces and is based on technology disrupters that can safely treat human excreta, and matches user preferences without the need for sewers, or reliance on large quantities of water and/or energy supplies. Through innovation and smart-chain supply, universal access can be achieved sustainably, and linked to water security and business opportunities. The opportunity arises for leapfrogging these solutions in growing cities in the developing world, reducing water consumption and eliminating pollutant pathways.


2012 ◽  
Vol 11 (1-2) ◽  
pp. 219-246 ◽  
Author(s):  
Ahmad Noor Sulastry Yurni

Abstract Abstract The Malays, Chinese and Indian community in Malaysia have been homogenized since British colonialism. The existence of Indian Muslims’ identity caused a new paradigm shift in Malaysia involving the racial discussion. This paper traces the difference in Indian Muslims’ identities from Indian and the Hindus. I argued that Indian Muslims share Islam as their religion and faith, while maintaining a Malay way of life and custom in their daily practices. In Malaysia, the Indian Muslim community struggled to place their future in terms of social, economic allocation and political justification among the other communities. However, the strength of ethnic politics clearly charted out their involvement in the political base and moved them to fight for their cause and rights. Hence, today’s Indian Muslim community has caused an Islamic resurgence, which has brought a new Indian dimension as a whole.


Author(s):  
Paola Ranut ◽  
Gábor Janiga ◽  
Enrico Nobile ◽  
Dominique Thévenin

Author(s):  
H. Jurgens Hendriks

The article describes a theological paradigm shift taking place in congregations in South Africa that empower them to become involved in development work as a way of serving their neighbor. It also opens the possibility of working interdisciplinary without compromising theological and faith values. The perspectives and assumptions of the new paradigm are outlined and the basic methodology of doing theology is described. The new paradigm is a missional one, taking the focus on God as its point of departure and describing the identity and purpose of the church by looking at God’s identity and plan or mission with creation and humankind. Social development is seen as being in line with God’s mission and as such the church should not have difficulty in working with those who pursue the same goals.


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