Follicular thyroid carcinoma: Differences in clinical relevance between minimally invasive and widely invasive tumors

Evidence on the biological behavior and clinical courses of minimally invasive and widely invasive follicular thyroid carcinoma (MI-FTC, WI-FTC) is still debatable. The current study was conducted to identify differences between MI and WI tumors and those prognostic parameters influencing late outcome such as local recurrence and survival

Timing of surgery following SARS-CoV-2 infection: an international prospective cohort study

Peri-operative SARS-CoV-2 infection increases postoperative mortality. The aim of this study was to determine the optimal duration of planned delay before surgery in patients who have had SARS-CoV-2 infection. This international, multicentre, prospective cohort study included patients undergoing elective or emergency surgery during October 2020. Surgical patients with pre-operative SARS-CoV-2 infection were compared with those without previous SARS-CoV-2 infection. The primary outcome measure was 30-day postoperative mortality. Logistic regression models were used to calculate adjusted 30-day mortality rates stratified by time from diagnosis of SARS-CoV-2 infection to surgery. Among 140,231 patients (116 countries), 3127 patients (2.2%) had a pre-operative SARS-CoV-2 diagnosis. Adjusted 30-day mortality in patients without SARS-CoV-2 infection was 1.5% (95%CI 1.4-1.5). In patients with a pre-operative SARS-CoV-2 diagnosis, mortality was increased in patients having surgery within 0-2 weeks, 3-4 weeks and 5-6 weeks of the diagnosis (odds ratio (95%CI) 4.1 (3.3-4.8), 3.9 (2.6-5.1) and 3.6 (2.0-5.2), respectively). Surgery performed ≥ 7 weeks after SARS-CoV-2 diagnosis was associated with a similar mortality risk to baseline (odds ratio (95%CI) 1.5 (0.9-2.1)). After a ≥ 7 week delay in undertaking surgery following SARS-CoV-2 infection, patients with ongoing symptoms had a higher mortality than patients whose symptoms had resolved or who had been asymptomatic (6.0% (95%CI 3.2-8.7) vs. 2.4% (95%CI 1.4-3.4) vs. 1.3% (95%CI 0.6-2.0), respectively). Where possible, surgery should be delayed for at least 7 weeks following SARS-CoV-2 infection. Patients with ongoing symptoms ≥ 7 weeks from diagnosis may benefit from further delay

Timing of surgery following SARS-CoV-2 infection: an international prospective cohort study

Peri-operative SARS-CoV-2 infection increases postoperative mortality. The aim of this study was to determine the optimal duration of planned delay before surgery in patients who have had SARS-CoV-2 infection. This international, multicentre, prospective cohort study included patients undergoing elective or emergency surgery during October 2020. Surgical patients with pre-operative SARS-CoV-2 infection were compared with those without previous SARS-CoV-2 infection. The primary outcome measure was 30-day postoperative mortality. Logistic regression models were used to calculate adjusted 30-day mortality rates stratified by time from diagnosis of SARS-CoV-2 infection to surgery. Among 140,231 patients (116 countries), 3127 patients (2.2%) had a pre-operative SARS-CoV-2 diagnosis. Adjusted 30-day mortality in patients without SARS-CoV-2 infection was 1.5% (95%CI 1.4-1.5). In patients with a pre-operative SARS-CoV-2 diagnosis, mortality was increased in patients having surgery within 0-2 weeks, 3-4 weeks and 5-6 weeks of the diagnosis (odds ratio (95%CI) 4.1 (3.3-4.8), 3.9 (2.6-5.1) and 3.6 (2.0-5.2), respectively). Surgery performed ≥ 7 weeks after SARS-CoV-2 diagnosis was associated with a similar mortality risk to baseline (odds ratio (95%CI) 1.5 (0.9-2.1)). After a ≥ 7 week delay in undertaking surgery following SARS-CoV-2 infection, patients with ongoing symptoms had a higher mortality than patients whose symptoms had resolved or who had been asymptomatic (6.0% (95%CI 3.2-8.7) vs. 2.4% (95%CI 1.4-3.4) vs. 1.3% (95%CI 0.6-2.0), respectively). Where possible, surgery should be delayed for at least 7 weeks following SARS-CoV-2 infection. Patients with ongoing symptoms ≥ 7 weeks from diagnosis may benefit from further delay

Validity of Accelerometers for the Evaluation of Energy Expenditure in Obese and Overweight Individuals: A Systematic Review

Objective. Even though the validity of accelerometers for the measurement of energy expenditure (EE) has been demonstrated for normal-weight individuals, the applicability of this instrument in obese individuals remains controversial. This review aims to summarize the level of agreement between accelerometers and the gold standards (indirect calorimetry and doubly labelled water) for the measurement of energy expenditure (EE) in obese or overweight individuals. Methods. The literature search was limited to comparison studies assessing agreement in EE determination between accelerometers and indirect calorimetry (IC) or doubly labelled water (DLW). We searched in PubMed and in Scopus until March 1, 2019. The analysis was restricted to obese or overweight adult individuals. The following descriptive information was extracted for each study: sample size, characteristics of participants (sex, age, BMI, fat mass percentage, any pathological conditions, modality of recruitment in the study, and exclusion criteria), accelerometer description (model, type and body position), and type of gold standard and validity protocol (duration, conditions, and requirements during and before the experiment). Three review authors independently screened the obtained results, and the quality of the selected articles was assessed by the QUADAS-2 tool. Results. We obtained seventeen eligible articles, thirteen of which showed concerns for the applicability section, due to the patient selection. Regarding the accelerometers, nine devices were validated in the included studies with the BodyMedia SenseWear® (SWA) being the most frequently validated. Although correlations between accelerometers and the gold standard were high in some studies, agreement between the two methods was low, as shown by the Bland-Altman plots. Conclusions. Most accelerometer estimations of EE were inaccurate for obese/overweight subjects, and authors advise to improve the accuracy of algorithms for SWA software, or the predicted equations for estimating EE from other accelerometers

An in-line coaxial-to-waveguide transition for q-band single-feed-per-beam antenna systems

An in-line transition between a coaxial cable and rectangular waveguide operating in Q-band (33–50 GHz) is presented. The aim of the work is to minimize the modifications in the waveguide to the strictly necessary to overcome the manufacturing issues due to the high frequencies involved. In addition, the transition is compact and it does not increase the space occupation on the transverse section, this suggests its application in horn antennas clusters arrangement. The operating principle consists of both a modal conversion and an impedance matching between the devices. The modal conversion is realized in an intermediate region, where the coaxial penetrates in the waveguide: the device geometry is designed so that the electric field in the transition is a trade-off between the TEM mode of the coaxial and the TE10 of the guide. A shaped waveguide backshort and a reactive air gap in the coaxial cable co-participate to achieve the matching. An optimized Chebyshev stepped transformer completes the transition to fulfil the impedance mismatch with the full waveguide. The design issues and technological aspects are considered. The influences of the feeding pin misalignment, the presence of groove is included in the analysis and these practical aspects are discussed and numerically validated via the scattering parameters analysis of the proposed design. The return loss is higher than 25 dB over the whole Q-band

Designing a High-Power Sodium-Ion Battery by in Situ Metal Plating

Sodium ion batteries represent a drop-in technology and a more sustainable alternative to Li-ion, but higher energies and power levels are required to meet the demands required by a greener electrification. Here, the design of an anode-free sodium-ion battery is presented and its performances discussed in terms of reduced mass and high power capabilities. The cell consists of an Iron Hexacyanoferrate - reduced Graphene Oxide composite as cathode material whose synthesis is tailored to achieve minimal structural defects (3%) and water content. Its high-potential redox couple FeLS(C) is stabilized at high rates, granting the full cell with high discharge voltage and power. As negative substrate, a carbon coated aluminum foil was adopted for in situ plating/stripping of Na metal, showing very small voltage hysteresis up to an applied current of 2 mA/cm2. Overall, this simplified full cell architecture can deliver up to 340 Wh/kg and 500 W/kg at nominal 1C retaining 80% in 250 cycles, with the possibility of delivering 9000 W/kg at 20C. Bridging the boundaries between batteries and supercapacitors, this research aims to expand the range of possible applications for Na-ion technology

Wild asparagus domestication for food/energy cropping system setup

The solar greenhouse sector is currently unbalanced towards energy production. Thus, the introduction of new crop options, such as wild asparagus, could contribute to the promotion of economic and environmental sustainability in these food/energy systems (mixed-systems). We hypothesized that wild asparagus is able to adapt both to sunny and partially shaded environments provided that both nutrient and water supply are guaranteed. Over a three-year experiment, we carried out an intensive examination of within-season phenological, physiological and productive dynamics under a greenhouse with 50% of the roof area covered with photovoltaic panels. Under the photovoltaic roof the net assimilation rate was on average 5 time lower, averaged over the growing seasons (0.6 μmol CO2 m-2 s-1), resulting in negative results for some monitoring dates. However, lower net assimilation rate did not negatively impact spears production in terms of number, length and diameter. The year of establishment affected the length of the spear, which was 4 cm shorter in 2013 than in 2014 and 2015, when no significant difference was observed. The novelty proposed in this study could be a successful option for farmers to promote production diversification and a promising strategy to guarantee the environmental and economic sustainability of the whole mixed system

Translation, cross-cultural adaptation, and validation of the Italian version of the anterior cruciate ligament–return to sport after injury (ACL-RSI) scale and its integration into the K-STARTS test

Background: The timing of a return to sport (RTS) after anterior cruciate ligament reconstruction (ACLR) represents a major subject of debate in sports medicine practice. Recently, the Knee Santy Athletic Return to Sport (K‐STARTS) composite test was validated. This consists of a battery of physical tests and a psychological evaluation using the anterior cruciate ligament–return to sport after injury scale (ACL‐RSI). This study aimed to translate the ACL‐RSI and K‐STARTS from English to Italian and determine the scale’s reliability and validity in an Italian context. Methods: The translation and cultural adaptation process was performed according to the guidelines for the cross‐ cultural adaptation of self‐report measures. The patients were asked to fill an anonymized online form created for this purpose that included the KOOS, the Lysholm, the IKDC‐SKF, and the Italian translation of the ACL‐RSI (ACL‐RSI‐It). After 1 week, the attendees were asked to repeat the ACL‐RSI‐It to investigate the test–retest reliability. Results: The final study population comprised 115 patients who underwent ACLR, with a mean follow‐up of 37.37 ± 26.56 months. The ACL‐RSI‐It showed axcellent internal consistency (Cronbach’s α = 0.963), reliability (test– retest ICC = 0.966), and good construct validity (positive correlations with the other scales were above 75%). Conclusions: The ACL‐RSI‐It is valid, reliable, and comparable to the original English version of the questionnaire for Italian‐speaking patients. It can be used to assess the psychological readiness of patients for a RTS after primary and unilateral ACLR, and can be integrated into the Italian K‐STARTS test

WSN hardware for automotive applications: Preliminary results for the case of public transportation

The ubiquitous nature and great potential of Wireless Sensors Network has not yet been fully exploited in automotive applications. This work deals with the choice of the cost-effective hardware required to face the challenges and issues proposed by the new trend in the development of intelligent transportation systems. With this aim, a preliminary WSN architecture is proposed. Several commercially available open-source platforms are compared and the Raspberry Pi stood out as a suitable and viable solution. The sensing layer is designed with two goals. Firstly, accelerometric, temperature, and relative humidity sensors were integrated on a dedicated PCB to test if mechanical or environmental stresses during bus rides could be harmful to the device or to its performances. The physical quantities are monitored automatically to alert the driver, thus improving the quality of service. Then, the rationale and functioning of the management and service layer is presented. The proposed cost-effective WSN node was employed and tested to transmit messages and videos, while investigating if any quantitative relationship exists between these operations and the environmental and operative conditions experienced by the hardware

A New Monitor and Control Power Supply PCB for Biasing LNAs of Large Radio Telescopes Receivers

The biasing of low noise amplifiers (LNA) is of paramount importance for the receivers of large radio telescopes. High stability, optimal trade-off between gain and noise figure, remote control, and mitigation of the radio frequency interferences (RFIs) are all desirable features in the choice of the electronic board devoted to power supply the LNAs. In this paper, we propose the design and characterization of a multilayer printed circuit board (PCB), named GAIA, able to meet all the aforementioned requirements. The GAIA board is a 3-Unit, four-layer, rack-mountable, programmable PCB for the remote biasing of the LNAs, with monitor and control capabilities, specifically designed to operate in the receivers of the 64-m diameter Sardinia Radio Telescope (SRT). We describe the architecture, layout, and measurements of the GAIA board. Our results show that the GAIA power supply provides high stability of the output bias voltages and, in comparison with the old analogic biasing board used so far in the SRT receivers, it shows comparable or better frequency stability, other than a remarkable mitigation of the RFIs