Metastasis to parotid gland from non Head and Neck tumors

Most primary tumors spreading metastasis to the parotid gland are usually located in the head and neck region, nonetheless, rarely, parotid gland can also be the target of metastatic localization site of distant primary tumors. The purpose of this study was to describe a clinical series of metastasis to the parotid gland from distant primary tumors (non Head & Neck)

GPR activities in Italy: a review

Ground-penetrating radar has been increasingly played an important role over the last 15 years in Italy due to its high reliability in assisting the assessment of the built environment for civil engineering purposes, and in being used for geophysical investigations within many other fields of application. In line with this, original works involving fundamental aspects of this technique and implementing its use more practically in a number of interesting projects have been developed over years, both under a research and an enterprise point of view. This paper will endeavour to review the current status of ground-penetrating radar activities in Italy. Efforts have been devoted to single out the most interesting national research projects, both recent and ongoing, involving ground-penetrating radar in Italy, such as the ARCHEO project in the 90s, funded by the Italian Ministry for Universities, wherein a stepped frequency ultra-wide band radar suited for archaeological surveys was manufactured. In this framework, it is worth citing another important and more recent project, European Community funded, namely, ORFEUS, which started in the late 2006 with the overall aim of providing the capability to locate buried infrastructure accurately and reliably by means of a bore-head ground-penetrating radar for horizontal directional drilling. A review on the main use of this non-destructive technique in management activities of national resources and infrastructures has been also performed, ranging from the applications made by Anas S.p.A., i.e. the main management authority for the Italian road and motorway network, up to private enterprises specialized in both services providing and ground-penetrating radar manufacturing such as, to cite a few, Sineco S.p.A. and IDS Ingegneria dei Sistemi S.p.A., respectively. Current national guidelines, rules or protocols to be followed during radar surveys have been also reviewed. Unlike well-established international standards such as the ASTM D 4748-98 and the ASTM D 6432-99 dealing with, respectively, thicknesses evaluation of bound layers in road pavements, and equipment, field procedures and data-interpretation for the electromagnetic evaluation of subsurface materials, it has to be noted that the Italian body of laws and rules tackles the ground-penetrating radar applications under an indirect and partial approach. Despite of such situation, national guidelines concerning utilities-detection activities as well as other theoretical and practical guidelines established by the major Italian private enterprises on this field can be also considered highly relevant. Moreover, a further focus on the activities and main devices of the major Italian ground-penetrating radar manufacturers have been thoroughly described. Under a research and innovation perspective, the most important test sites, such as the site of the University of Salento to reconstruct archaeological and urban subsurface scenarios have been listed along with the main advances reached in integrating ground-penetrating radar with other non-destructive techniques, to inform and potentially improve the possibility of new developments and collaborations

Constraints on the origin of the radio synchrotron background via angular correlations

The origin of the radio synchrotron background (RSB) is currently unknown. Its understanding might have profound implications in fundamental physics or might reveal a new class of radio emitters. In this work, we consider the scenario in which the RSB is due to extragalactic radio sources and measure the angular cross-correlation of LOFAR images of the diffuse radio sky with matter tracers at different redshifts, provided by galaxy catalogs and CMB lensing. We compare these measured cross-correlations to those expected for models of RSB sources. We find that low-redshift populations of discrete sources are excluded by the data, while higher redshift explanations are compatible with available observations. We also conclude that at least 20\% of the RSB surface brightness level must originate from populations tracing the large-scale distribution of matter in the universe, indicating that at least this fraction of the RSB is of extragalactic origin. Future measurements of the correlation between the RSB and tracers of high-redshift sources will be crucial to constraining the source population of the RSB.Comment: 12 pages, 8 figures. Version accepted for publication in MNRA

The ESA MIPAS/Envisat level2-v8 dataset: 10 years of measurements retrieved with ORM v8.22

The observations acquired during the full mission of the Michelson Interferometer for Passive Atmospheric Sounding (MIPAS) instrument, aboard the European Space Agency Environmental Satellite (Envisat), have been analysed with version 8.22 of the Optimised Retrieval Model (ORM), originally developed as the scientific prototype of the ESA level-2 processor for MIPAS observations. The results of the analyses have been included into the MIPAS level-2 version 8 (level2-v8) database containing atmospheric fields of pressure, temperature, and volume mixing ratio (VMR) of MIPAS main targets H$_{2}$O, O$_{3}$, HNO$_{3}$, CH$_{4}$, N$_{2}$O, and NO$_{2}$, along with the minor gases CFC-11, ClONO$_{2}$, N$_{2}$O$_{5}$, CFC-12, COF$_{2}$, CCl$_{4}$, CF$_{4}$, HCFC-22, C$_{2}$H$_{2}$, CH$_{3}$Cl, COCl$_{2}$, C$_{2}$H$_{6}$, OCS, and HDO. The database covers all the measurements acquired by MIPAS in the nominal measurement mode of the full resolution (FR) part of the mission (from July 2002 to March 2004) and all the observation modes of the optimised resolution (OR) part (from January 2005 to April 2012). The number of species included in the MIPAS level2-v8 dataset makes it of particular importance for the studies of stratospheric chemistry. The database is considered by ESA the final release of the MIPAS level-2 products. The ORM algorithm is operated at the vertical grid coincident to the tangent altitudes of the observations or to a subset of them, spanning (in the nominal mode) the altitude range from 6 to 68 km in the FR phase and from 6 to 70 km in the OR period. In the latitude domain, FR profiles are spaced by about 4.7∘, while the OR profiles are spaced by about 3.7∘. For each retrieved species, the auxiliary data and the retrieval choices are described. Each product is characterised in terms of the retrieval error, spatial resolution, and “useful” vertical range in both phases of the MIPAS mission. These depend on the characteristics of the measurements (spectral and vertical resolution of the measurements), the retrieval choices (number of spectral points included in the analyses, number of altitudes included in the vertical retrieval grid), and the information content of the measurements for each trace species. For temperature, water vapour, ozone, and nitric acid, the number of degrees of freedom is significantly larger in the OR phase than in the FR one, mainly due to the finer vertical measurement grid. In the FR phase, some trace species are characterised by a smaller retrieval error with respect to the OR phase, mainly due to the larger number of spectral points used in the analyses, along with the reduced vertical resolution. The way of handling possible caveats (negative VMR, vertical grid representation) is discussed. The quality of the retrieved profiles is assessed through four criteria, two providing information on the successful convergence of the retrieval iterations, one on the capability of the retrieval to reproduce the measurements, and one on the presence of outliers. An easy way to identify and filter the problematic profiles with the information contained in the output files is provided. MIPAS level2-v8 data are available to the scientific community through the ESA portal (https://doi.org/10.5270/EN1-c8hgqx4)

Noi refertiamo così… voi? Guida rapida per la valutazione sonologica della stenosi carotidea.

Da oltre quarant’anni si utilizzano gli ultrasuoni per rilevare una placca carotidea e per seguire nel tempo la sua evoluzione. I protocolli terapeutici hanno ridotto enormemente il suo impatto sulla salute delle persone ma la scelta fra terapia medica e chirurgica si fonda su una valutazione clinica e strumentale che è solo apparentemente semplice. Nei referti di un esame ultrasonografico riportiamo il più delle volte delle percentuali di stenosi, a volte puntuali, a volte in termini di range oppure ci esprimiamo con aggettivi che descrivono la gravità della stenosi ma spesso ci facciamo confondere dai numeri e dalle differenti modalità di calcolo del range di stenosi ed è indubbio che, a volte, le conclusioni risultano ambigue ed estremamente dipendenti dall’interpretazione dell’operatore. Il problema è che l’angiografia digitale, gold standard diagnostico per la stenosi carotidea, adotta delle metriche non del tutto riproducibili con gli ultrasuoni. Con questo documento vogliamo condividere la ricerca di un linguaggio comune, a partire dal referto dei nostri esami. Noi refertiamo così… voi

Colorectal Cancer Stage at Diagnosis Before vs During the COVID-19 Pandemic in Italy

IMPORTANCE Delays in screening programs and the reluctance of patients to seek medical attention because of the outbreak of SARS-CoV-2 could be associated with the risk of more advanced colorectal cancers at diagnosis. OBJECTIVE To evaluate whether the SARS-CoV-2 pandemic was associated with more advanced oncologic stage and change in clinical presentation for patients with colorectal cancer. DESIGN, SETTING, AND PARTICIPANTS This retrospective, multicenter cohort study included all 17 938 adult patients who underwent surgery for colorectal cancer from March 1, 2020, to December 31, 2021 (pandemic period), and from January 1, 2018, to February 29, 2020 (prepandemic period), in 81 participating centers in Italy, including tertiary centers and community hospitals. Follow-up was 30 days from surgery. EXPOSURES Any type of surgical procedure for colorectal cancer, including explorative surgery, palliative procedures, and atypical or segmental resections. MAIN OUTCOMES AND MEASURES The primary outcome was advanced stage of colorectal cancer at diagnosis. Secondary outcomes were distant metastasis, T4 stage, aggressive biology (defined as cancer with at least 1 of the following characteristics: signet ring cells, mucinous tumor, budding, lymphovascular invasion, perineural invasion, and lymphangitis), stenotic lesion, emergency surgery, and palliative surgery. The independent association between the pandemic period and the outcomes was assessed using multivariate random-effects logistic regression, with hospital as the cluster variable. RESULTS A total of 17 938 patients (10 007 men [55.8%]; mean [SD] age, 70.6 [12.2] years) underwent surgery for colorectal cancer: 7796 (43.5%) during the pandemic period and 10 142 (56.5%) during the prepandemic period. Logistic regression indicated that the pandemic period was significantly associated with an increased rate of advanced-stage colorectal cancer (odds ratio [OR], 1.07; 95%CI, 1.01-1.13; P = .03), aggressive biology (OR, 1.32; 95%CI, 1.15-1.53; P < .001), and stenotic lesions (OR, 1.15; 95%CI, 1.01-1.31; P = .03). CONCLUSIONS AND RELEVANCE This cohort study suggests a significant association between the SARS-CoV-2 pandemic and the risk of a more advanced oncologic stage at diagnosis among patients undergoing surgery for colorectal cancer and might indicate a potential reduction of survival for these patients

Statistical analysis of component failures: A 16 year survey on more than 550 wind turbines

A good prediction of the failure ratio of wind turbine (WT) components is pivotal to define a correct maintenance program and reduce the downtime periods. Even a small failure can lead to long downtime periods and high repairing costs. The installation sites, which generally have limited accessibility, and the necessity of special facilities to reach the components inside the nacelle, also play a key role in the correct management of WTs. In this study, a detailed survey on the failures occurred to the WTs managed by the Italian operator "e2i energie speciali" (more than 550 machines) over 16 years was performed and the results were analyzed in detail. Each failure was classified by considering the damaged component and the related downtime period. The analysis allowed the determination of several useful results such as the trend of failure occurrence with machine age and the identification of components and macrocomponents which are more critical in terms of both number of occurrences and downtime periods. The combination of component failure occurrences and related downtime periods was also computed to estimate which component is most critical for WT operation

Statistical analysis of component failures: A 16-year survey on more than 550 wind turbines

A good prediction of the failure ratio of wind turbinecomponents is pivotal in order to define a correct maintenanceprogram and reduce the downtime periods. Even a smallfailure can lead to long downtime periods and high repairingcosts. The installation sites, which generally have limitedaccessibility, and the necessity of special facilities to reach thecomponents inside the nacelle, also play a major role in thecorrect management of wind turbines.In this study, a detailed survey on the failures occurred tothe wind turbines managed by the Italian operator "e2i energiespeciali" (more than 550 machines) over 16 years wasperformed and the results were analyzed in detail. Each failurewas classified by considering the damaged component and therelated downtime period. The analysis allowed thedetermination of several useful results such as the trend offailure occurrence with machine age and the identification ofcomponents and macro-components which are more critical interms of both number of occurrences and downtime periods.The combination of component failure occurrences and relateddowntime periods was also computed to estimate whichcomponent is most critical for wind turbine operation