Holy icon or sacred body? The image of the emperor in the iconoclastic controversy

Throughout Iconoclasm the imperial icon was used in iconophile writings as the major argument in support of icon veneration. It included images of the emperor reproduced in various media and even panel portraits. Although the latter have not survived the centuries, they were real objects with a strong power in the Byzantine system of visual communication. This paper will show that that the role of the imperial icon in Byzantine imagery and image theory was closely connected to the perception of the emperor and of the sacred imperial power in Byzantium

Data Science for Health Image Alignment: A User-Friendly Open-Source ImageJ/Fiji Plugin for Aligning Multimodality/Immunohistochemistry/Immunofluorescence 2D Microscopy Images

Most of the time, the deep analysis of a biological sample requires the acquisition of images at different time points, using different modalities and/or different stainings. This information gives morphological, functional, and physiological insights, but the acquired images must be aligned to be able to proceed with the co-localisation analysis. Practically speaking, according to Aristotle’s principle, “The whole is greater than the sum of its parts”, multi-modal image registration is a challenging task that involves fusing complementary signals. In the past few years, several methods for image registration have been described in the literature, but unfortunately, there is not one method that works for all applications. In addition, there is currently no user-friendly solution for aligning images that does not require any computer skills. In this work, DS4H Image Alignment (DS4H-IA), an open-source ImageJ/Fiji plugin for aligning multimodality, immunohistochemistry (IHC), and/or immunofluorescence (IF) 2D microscopy images, designed with the goal of being extremely easy to use, is described. All of the available solutions for aligning 2D microscopy images have also been revised. The DS4H-IA source code; standalone applications for MAC, Linux, and Windows; video tutorials; manual documentation; and sample datasets are publicly available

Loncastuximab tesirine in relapsed/refractory diffuse large B-cell lymphoma: long-term efficacy and safety from the phase 2 LOTIS-2 study

Therapies that demonstrate durable, long-term responses with manageable safety and tolerability are needed for patients with relapsed/refractory diffuse large B-cell lymphoma (R/R DLBCL). Loncastuximab tesirine (loncastuximab tesirine-lpyl [Lonca]), an anti-CD19 antibody conjugated to a potent pyrrolobenzodiazepine dimer, demonstrated single-agent antitumor activity in the pivotal phase II LOTIS-2 study in heavily pretreated patients with R/R DLBCL. Here we present updated efficacy and safety analyses from LOTIS-2, performed for all patients and in subsets of patients with a complete response (CR), including patients with CR who were event-free (no progressive disease or death) for ≥1 year and ≥2 years from cycle 1, day 1 of treatment. Lonca was administered every 3 weeks (0.15 mg/kg for 2 cycles; 0.075 mg/kg for subsequent cycles). As of the final data cutoff (September 15, 2022; median follow-up: 7.8 months [range, 0.3-42.6]), 70 of 145 (48.3%) patients achieved an overall response. Thirty-six (24.8%) patients achieved CR, of which 16 (44%) and 11 (31%) were event-free for ≥1 year and ≥2 years, respectively. In the all-treated population, the median overall survival was 9.5 months; the median progression-free survival was 4.9 months. Among patients with CR, median overall survival and progression-free survival were not reached, with 24-month overall and progression-free survival rates of 68.2% (95% CI: 50.0-81.0) and 72.5% (95% CI: 48.2-86.8), respectively. No new safety concerns were detected. With additional follow-up, Lonca continued to demonstrate durable, long-term responses with manageable safety and tolerability in patients with CR (clinicaltrials gov. Identifier: NCT03589469)

More than “crumbs”: emotional entanglements and situated ethical strategies in qualitative research

Emotional entanglements developing between researchers and participants are an unavoidable experience in qualitative research, whose methods largely rely on emotions, intimacy, and relationships. Despite urged to exercise reflexivity, researchers rarely have the opportunity to deconstruct the emotional aspects of their investigations, which are often perceived as problems rather than as resources. Drawing on feminist methodology, this article argues that emotional entanglements should be considered neither as methodological “troubles” that must be avoided at all costs nor as strategies to gain richer data, but as important ethical moments that can help researchers reconsider, re-adjust, and update the tools they employ to collect and disseminate data. Using “confessional tales” (Van Maanen, 2001) written during qualitative studies I have conducted with young people involved in a variety of subcultural practices, I explore strategies for dealing with emotional entanglements in a meaningful and ethical way. In so doing, this article aims to add to the literature on the tensions between formal ethics and ethics in the field

Comparative Analysis of Subclassification Systems in Patients with Intermediate-Stage Hepatocellular Carcinoma (Barcelona Clinic Liver Classification B) Receiving Systemic Therapy

Background: Intermediate-stage hepatocellular carcinoma (BCLC B HCC) occurs in a heterogeneous group of patients and can be addressed with a wide spectrum of treatments. Consequently, survival significantly varies among patients. In recent years, several subclassification systems have been proposed to stratify patients’ prognosis. We analyzed and compared these systems (Bolondi, Yamakado, Kinki, Wang, Lee, and Kim criteria) in patients undergoing systemic therapy. Methods: We considered 171 patients with BCLC B HCC treated with sorafenib as first-line systemic therapy in six Italian centers from 2010 to 2021 and retrospectively applied the criteria of six different subclassification systems. Results: Except for the Yamakado criteria, all the subclassification systems showed a statistically significant correlation to overall survival (OS). In the postestimation analysis, the Bolondi criteria (OS of subgroups 22.5, 11.9, and 6.6 mo, respectively; C-index 0.586; AIC 1338; BIC 1344) and the Wang criteria (OS of subgroups 20.6, 11.9, and 7.0, respectively; C-index 0.607; AIC 1337; BIC 1344) presented the best accuracy. Further analyses of these two subclassification systems implemented with the prognostic factor of alpha-fetoprotein (AFP) > 400 ng/mL have shown an increase in accuracy for both systems (C-index 0.599 and 0.624, respectively). Conclusions: Intermediate-stage subclassification systems maintain their predictive value also in the setting of systemic therapy. The Bolondi and Wang criteria showed the highest accuracy. AFP > 400 ng/mL enhances the performance of these systems

Emergency response in cascading scenarios triggered by natural events

Emergency response is a procedural safety barrier of paramount importance for the mitigation of fire scenarios and the prevention of escalation. However, in Natech scenarios, emergency response may be affected by the natural event impacting the site. Indeed, when contrasting Natech accidents, emergency responders have to face both the natural event and the cascading technological scenario. Despite the criticality of the issue, limited attention was devoted to date to the analysis of emergency response in cascading sequences triggered by natural events. The present study provides a novel and technically sound methodology to assess the performance of emergency response and the required intervention time in Natech scenarios. An expert survey combined with a Bayesian Network model was used to assess the performance of the emergency response. The routing and setup phases were identified as those mostly affected by natural events. Monte Carlo simulations were used to obtain baseline data and specific probability distributions for the time required to carry out the emergency response considering the factors that may hinder the response during natural events. In Natech accidents, the time for effective mitigation resulted higher of at least a factor 2 with respect to that expected in the case of conventional accidents. The methodology developed may be used to support the improvement of the emergency management of Natech scenarios, allowing for a detailed definition of site-specific emergency response plans. Moreover, the results may be used to provide a more accurate assessment of the fire-driven escalation probability in Natech events

Unveiling vocal profiles in adolescent anorexia nervosa: a Software Based, Multiparametric Analysis

Dysphonia, characterized by disturbances in voice quality and modulation, has been sporadically observed in individuals with Anorexia Nervosa (AN), potentially stemming from both organic and psychopathological factors. This study seeks to employ software-based voice analysis to compare the voices of girls with AN to those of female healthy controls (HC). Case-control study adopting “Praat” software to assess voices. Various parameters, including Acoustic Voice Quality Index (AVQI), Fundamental Frequency (F0), Yanagihara’s Spectrographic Dysphonia Classifications, and “GIRBAS” perceptual qualitative voice rating, were investigated. Participants completed questionnaires for Vocal Fatigue Index (VFI) and the Reflux Symptoms Index (RSI). Puberty-related voice spectrum changes were considered, and Bonferroni-corrected BMI-adjusted Analyses of Covariance (ANCOVAs) were conducted. The study enrolled 15 girls with AN and 23 girls with HC. AN patients demonstrated greater impairment in voice tiredness/voice avoidance (VFI-1, p < 0.001), vocal physical discomfort (VIF-2, p = 0.002), and rest as alleviation (VFI-3, p = 0.012). Reflux-related scores were higher in AN (p < 0.001). Differences were observed in voice quality (AVQI) (p = 0.001), and GIRBAS scales showed alterations in multiple parameters. Spectrograms documented more frequent pathological findings in AN patients (p = 0.021). No difference was observed in Fundamental Frequency. These group (AN/HC) differences were independent of weight measures. This study is the first to connect voice irregularities in AN by employing standardized, non-invasive tools and accounting for weight-related factors. Young AN patients demonstrated substantial voice quality changes and heightened self-reported symptoms. Future research should expand on these findings with prospective designs and invasive investigations

Patterns and timing of recovery from facial nerve palsy after nerve-sparing parotid surgery: the role of neuromuscular retraining

Objectives: Among the complications of parotid surgery, facial palsy is frequent and burdened by high functional and social impact for the patient. There are few data on the efficacy of facial neuromuscular retraining (FNR) in patients with facial palsy after parotid surgery, and no data exist on its impact in timing and extent of recovery. Material and methods: A retrospective study was conducted on patients undergoing FN sparing parotid surgery and suffering from postoperative facial palsy. Among 400 patients undergoing surgery between July 2016 and May 2023, those with the preservation of the FN and onset of facial palsy were selected. Nerve function was evaluated during 2 years follow up using the House-Brackman (H&Bs) and Sunnybrook scales (SBs). Results: A total of 46 patients undergoing partial or total parotidectomy were included. At discharge 18 patients (39,1%) had IV to VI grade paralysis according to the H&Bs and the mean SBs value was 54. At 2 and 6 months after surgery, the average value of Sunnybrook increased to 76.5 and 95.4 respectively. After 12 months no patients with IV to VI grade paralysis were represent in our cohort. Two years after surgery, only five patients (10.9%) had persistent grade II paralysis according to HBs. Conclusions: Our study supports the efficacy of FNR in the rehabilitation of facial paralysis after nerve-sparing parotidectomy. The greater functional improvement is achieved within the first 6 months of rehabilitation. A significant improvement is detected still after 18 months, supporting the importance of long rehabilitation for patients without complete recovery after the first year

Protecting oil storage tanks against floods: Natech risk assessment with imprecise probabilities

Natechs are technological accidents that are triggered by natural disasters. The increase in the frequency and severity of climatic natural disasters along with the growth of industrialization has accelerated the demand for development of dedicated methodologies for risk assessment and management of Natechs. Due to a lack of accurate and sufficient data, risk assessment of Natechs has largely been based on subjective assumptions and imprecise probabilities, making the assessed risks and the subsequent risk management strategies deficient in terms of cost-effectiveness. In the present study, evidence theory, as an effective technique for dealing with imprecise probabilities, and Bayesian network, as an effective tool for reasoning under uncertainty, are combined to develop a methodology for risk analysis of Natechs based on imprecise probabilities with no attempt to increase the precision of the input data but the accuracy and cost-effectiveness of the outcomes. Flotation of oil tanks during floods has been considered to exemplify the methodology. The methodology is demonstrated to outperform conventional approaches where average probabilities or generic probability distributions are used instead of interval probabilities for risk assessment and management

Carrier-Based PWM Strategy for Output Current Ripple Minimization in Multiphase Motor Drives

Recently, multiphase drives have emerged as a notable alternative for three-phase drives in several domains, including electric marine propulsion, locomotive traction, and high-power industrial applications where fault tolerance and high reliability are required. This study uses a graphical approach to develop a new carrier-based Pulse-Width Modulation (PWM) that reduces the root-mean-square value of the output current ripple in two-level multiphase inverters with an odd number of phases. The optimization process calculates the optimal common-mode voltage for each switching period. Numerical models and experiments with five- and seven-phase inverters demonstrate the effectiveness of the developed PWM technique, which can reduce the number of commutations while obtaining the lowest output current ripple