70 research outputs found

    Reading decoding and comprehension in children with autism spectrum disorders: Evidence from a language with regular orthography

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    Decoding and comprehension skills in children with autism spectrum disorders (ASD) were analysed in children native speakers of a language (Italian) with a highly regular orthography. Children with ASD were compared to children with matched intellectual functioning: a subgroup of children with ASD and borderline intellectual functioning (BIF) was compared to a subgroup of children with BIF but no signs of ASD; a subgroup of children with ASD and cognitive functioning within normal limits was compared to a group of typically developing children. Children with ASD (whether with or without BIF) showed essentially spared decoding skills in text as well as word and pseudo-word reading; this was at variance with children with BIF who, as a group, showed overall deficient decoding skills, despite considerable individual differences. By contrast, children with ASD (once again, irrespective of the presence of BIF) showed a selective impairment in reading comprehension, just like children with BIF but unlike the typically developing ones. Therefore, results are generally consistent with a profile of hyperlexia for children with ASD learning a regular orthography, as previously reported for other languages. Notably, this pattern was present irrespective of the degree of cognitive impairment, and clearly distinguished these children from those with borderline intellectual functioning but not signs of autism

    KALMAN FILTER RETRIEVAL OF SEA SKIN TEMPERATURE FROM SEVIRI: A COMPARISON CASE STUDY

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    The high temporal resolution of data acquisition by geostationary satellites and their capability to resolve the diurnal cycle allow for the retrieval of a valuable source of information about geophysical parameters. To exploit this information we have developed a Kalman filter methodology for the retrieval of surface emissivity and temperature from radiance measurements made from geostationary platforms. The application of the retrieval methodology to SEVIRI (Spinning Enhanced Visible and Infrared Imager) infrared channels shows that we can simultaneously retrieve surface emissivity and temperature with an accuracy of ± 0.005 and ± 0.2 K, respectively. This performance is exemplified in this paper with a case study, which considers the retrieval of sea skin temperature for a target area of the Naples Gulf. Retrieval for temperature has been intercompared with similar products derived from AVHRR (Advanced Very High Resolution Radiometer) and MODIS (Moderate Resolution Imaging Spectroradiometer) satellite sensors

    Using the full IASI spectrum for the physical retrieval of temperature, H2O, HDO, O3, minor and trace gases

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    IASI (Infrared Atmospheric Sounder Interferometer) is flying on the European MetOp series of weather satellites. Besides acquiring temperature and humidity data, IASI also observes the infrared emission of the main minor and trace atmospheric components with high precision. The retrieval of these gases would be highly beneficial to the efforts of scientists monitoring Earths climate. IASI retrieval capability and algorithms have been mostly driven by Numerical Weather Prediction centers, whose limited resources for data transmission and computing is hampering the full exploitation of IASI information content. The quest for real or nearly real time processing has affected the precision of the estimation of minor and trace gases, which are normally retrieved on a very coarse spatial grid. The paper presents the very first retrieval of the complete suite of IASI target parameters by exploiting all its 8461 channels. The analysis has been exemplified for sea surface and the target parameters will include sea surface temperature, temperature profile, water vapour and HDO profiles, ozone profile, total column amount of CO, CO2, CH4, N2O, SO2, HNO3, NH3, OCS and CF4. Concerning CO2, CH4 and N2O, it will be shown that their colum amount can be obtained for each single IASI IFOV (Instantaneous Field of View) with a precision better than 1-2%, which opens the possibility to analyze, e.g., the formation of regional patterns of greenhouse gases. To assess the quality of the retrieval, a case study has been set up which considers two years of IASI soundings over the Hawaii, Manua Loa validation station

    Hyper fast radiative transfer for the physical retrieval of surface parameters from SEVIRI observations

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    This paper describes the theoretical aspects of a fast scheme for the physical retrieval of surface temperature and emissivity from SEVIRI data, their implementation and some sample results obtained. The scheme is based on a Kalman Filter approach, which effectively exploits the temporal continuity in the observations of the geostationary Meteosat Second Generation (MSG) platform, on which SEVIRI (Spinning Enhanced Visible and InfraRed Imager) operates. Such scheme embodies in its core a physical retrieval algorithm, which employs an hyper fast radiative transfer code highly customized for this retrieval task. Radiative transfer and its customizations are described in detail. Fastness, accuracy and stability of the code are fully documented for a variety of surface features, showing a peculiar application to the massive Greek forest fires in August 2007

    Water-related diseases outbreaks reported in Italy.

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    Water related disease outbreak (WRDO) statistics in Italy from 1998 to 2005 have been discussed in this paper. The true incidence of WRDO is not reflected in the National Surveillance System (NSS), although this study has provided information on pathogens associated to different water sources, incidence in Regions and inadequacy of regulations. 192 outbreaks and 2546 cases of WRD were reported to the NSS, an average of 318 cases per year. Cases were associated to shellfish (58.79%), drinking water (39.94%) and agricultural products (1.25%). WRDs have been detected in 76% of Regions: central and southern Regions showed lower percentage of cases (35.4%) due to under-reporting. Most of WRD cases in the North were related to drinking water; WRDs in marine coastal Regions were mostly related to shellfish. 49% of Districts (Province) notified WRDs, including only 101 Municipalities. Pathogenic microorganisms were identified in a few cases from clinical investigations. They included enteric viruses, Norwalk viruses, Salmonella, Shigella, Giardia and Campylobacter. There is the need to improve the existing NSS in relation to WRDs. An adequate WRDs Surveillance System should be based on connection between health and environmental authorities, priority pathogens and critical areas identification, response capability and contingency plans

    Immunological backbone of uveal melanoma: is there a rationale for immunotherapy?

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    No standard treatment has been established for metastatic uveal melanoma (mUM). Immunotherapy is commonly used for this disease even though UM has not been included in phase III clinical trials with checkpoint inhibitors. Unfortunately, only a minority of patients obtain a clinical benefit with immunotherapy. The immunological features of mUM were reviewed in order to understand if immunotherapy could still play a role for this disease

    Oxycodone/Acetaminophen: The Tailoring Combination Treatment for Specific Clinical Profile of Opioid Well-Responsive Cancer Pain

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    Background: International guidelines recommend moderate-to-severe cancer pain to be treated with strong opioids. However, pain management remains an unsolved matter, at least in the demanding oncology and palliative care setting. Although cancer pain consists of multiple components, which interact in complex ways where combination therapy can better intercept multiple pain characteristics, few studies have used a non-opioid/opioid association to exploit possible synergistic actions. Even the efforts of a recent approach emphasizing appropriate pain assessment and accurate classification to obtain personalized pain management have not produced a satisfactory analgesic strategy. Objective: This analysis was intended to evaluate the effectiveness of the immediate release fixed combination of oxycodone/acetaminophen (OxyIR/Par) for the treatment of moderate-to-severe intensity background pain used alone or in combination with other strong opioids in cancer patients with breakthrough cancer pain (BTcP). This is a secondary analysis of a wider observational, prospective, multicenter study [Italian Oncologic Pain multiSetting Multicentric Survey (IOPS-MS)] performed on 179 patients treated with opioids for cancer pain who received the fixed combination of oxycodone/acetaminophen (OxyIR/Par) for the treatment of background pain (BGP). Results: Cancer patients with breakthrough cancer pain and controlled BGP (Background Pain) were classified according to the presence of analgesic therapy with tablets of fixed combination OxyIR/Par alone (group A, n=120) or tablets of fixed combination OxyIR/Par combined with other strong opioids (group B, n=59). Clinical features of group A were different to group B: higher mean Karnofsky Performance Status Index 70.3% (95% CI=67.2-73.5; median=70, CI=60-80) vs 58.3 (95% CI=53.4-63.2; median=50, CI=45-70) (P<0.001), and mainly group A patients were treated in an ambulatory setting (55.0% group A vs 33.9% group B) (p<0.001). Both groups had managed BGP with similar mean dosages (group A: 12.0, CI=10.5-13.4; group B: 13.1, CI=11.0-15.1) and frequencies of OxyIR/Par alone for group A and in association to other opioids for group B, but Breakthrough cancer Pain (BTcP) exhibited different characteristics in the two groups, showing a lower mean intensity numerical rating scale (NRS) of 7.5 (95% CI=7.2-7.7; median=7, CI=7-8 group A) vs 7.9 (95% CI=7.6, 8.2; median= 8, CI=7-9 group B) (P=0.04) and a higher percentage of patients had a faster onset, defined as the maximum intensity reached in less than 10 minutes, 81.7% (N=98) in group A vs 59.3% (n=35) in group B (P=0.002). Conclusion: This is the first analysis about the efficacy of an immediate-release fixed combination of OxyIR/Par in the real world for moderate-to-severe background cancer pain and breakthrough cancer pain. The oral fixed combination OxyIR/Par provided an adequate level of analgesia for moderate-severe background cancer pain, in a different cohort of cancer patients with different performance status, both in ambulatory and palliative settings. The low dosage of fixed combination OxyIR/Par was effective alone or in association with other opioids

    How future surgery will benefit from SARS-COV-2-related measures: a SPIGC survey conveying the perspective of Italian surgeons

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    COVID-19 negatively affected surgical activity, but the potential benefits resulting from adopted measures remain unclear. The aim of this study was to evaluate the change in surgical activity and potential benefit from COVID-19 measures in perspective of Italian surgeons on behalf of SPIGC. A nationwide online survey on surgical practice before, during, and after COVID-19 pandemic was conducted in March-April 2022 (NCT:05323851). Effects of COVID-19 hospital-related measures on surgical patients' management and personal professional development across surgical specialties were explored. Data on demographics, pre-operative/peri-operative/post-operative management, and professional development were collected. Outcomes were matched with the corresponding volume. Four hundred and seventy-three respondents were included in final analysis across 14 surgical specialties. Since SARS-CoV-2 pandemic, application of telematic consultations (4.1% vs. 21.6%; p < 0.0001) and diagnostic evaluations (16.4% vs. 42.2%; p < 0.0001) increased. Elective surgical activities significantly reduced and surgeons opted more frequently for conservative management with a possible indication for elective (26.3% vs. 35.7%; p < 0.0001) or urgent (20.4% vs. 38.5%; p < 0.0001) surgery. All new COVID-related measures are perceived to be maintained in the future. Surgeons' personal education online increased from 12.6% (pre-COVID) to 86.6% (post-COVID; p < 0.0001). Online educational activities are considered a beneficial effect from COVID pandemic (56.4%). COVID-19 had a great impact on surgical specialties, with significant reduction of operation volume. However, some forced changes turned out to be benefits. Isolation measures pushed the use of telemedicine and telemetric devices for outpatient practice and favored communication for educational purposes and surgeon-patient/family communication. From the Italian surgeons' perspective, COVID-related measures will continue to influence future surgical clinical practice
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