A Cloud Telemedicine Platform Based on Workflow Management System: A Review of an Italian Case Study

The paper aims to describe a new technological and organizational approach in order to manage teleconsultation and telemonitoring processes involving a Physician, who remotely interacts with one or more Specialists, in order to evaluate and discuss the specific clinical conditions of a patient, based primarily on the sharing of digital clinical data, reports and diagnostic images. In the HINT project (Healthcare INtegration in Telemedicine), a teleconsultation and telemonitoring cloud platform has been developed using a Hub and Spoke architecture, based on a Business Process Management System (BPMS). The specialized clinical centres (Hubs) operate in connection with the territorial hospital centres (Spokes), which receive specific diagnostic consultations and telemonitoring data from the appropriate Specialist, supported by advanced AI systems. The developed platform overcomes the concepts of a traditional and fragmented teleconsultation and consequently the static organization of Hubs and Spokes, evolving towards an integrated clinical workflow management. The project platform adopts international healthcare standards, such as HL7 FHIR, IHE (XDS and XDW) and DICOM for the acquisition and management of healthcare data and diagnostic images. A Workflow Management System implemented in the platform allows to manage multiple and contemporaneous processes through a single platform, correctly associating the tasks to the Physicians responsible for their execution, monitoring the status of the health activities and managing possible clinical issues

HF-SCA: Hands-Free Strong Customer Authentication Based on a Memory-Guided Attention Mechanisms

Strong customer authentication (SCA) is a requirement of the European Union Revised Directive on Payment Services (PSD2) which ensures that electronic payments are performed with multifactor authentication. While increasing the security of electronic payments, the SCA impacted seriously on the shopping carts abandonment: an Italian bank computed that 22% of online purchases in the first semester of 2021 did not complete because of problems with the SCA. Luckily, the PSD2 allows the use of transaction risk analysis tool to exempt the SCA process. In this paper, we propose an unsupervised novel combination of existing machine learning techniques able to determine if a purchase is typical or not for a specific customer, so that in the case of a typical purchase the SCA could be exempted. We modified a well-known architecture (U-net) by replacing convolutional blocks with squeeze-and-excitation blocks. After that, a memory network was added in a latent space and an attention mechanism was introduced in the decoding side of the network. The proposed solution was able to detect nontypical purchases by creating temporal correlations between transactions. The network achieved 97.7% of AUC score over a well-known dataset retrieved online. By using this approach, we found that 98% of purchases could be executed by securely exempting the SCA, while shortening the customer’s journey and providing an elevated user experience. As an additional validation, we developed an Alexa skill for Amazon smart glasses which allows a user to shop and pay online by merely using vocal interaction, leaving the hands free to perform other activities, for example driving a car

The importance of camera calibration and distortion correction to obtain measurements with video surveillance systems

Video surveillance systems are commonly used as important sources of quantitative information but from the acquired images it is possible to obtain a large amount of metric information. Yet, different methodological issues must be considered in order to perform accurate measurements using images. The most important one is the camera calibration, which is the estimation of the parameters defining the camera model. One of the most used camera calibration method is the Zhang's method, that allows the estimation of the linear parameters of the camera model. This method is very diffused as it requires a simple setup and it allows to calibrate cameras using a simple and fast procedure, but it does not consider lenses distortions, that must be taken into account with short focal lenses, commonly used in video surveillance systems. In order to perform accurate measurements, the linear camera model and the Zhang's method are improved in order to take nonlinear parameters into account and compensate the distortion contribute. In this paper we first describe the pinhole camera model that considers cameras as central projection systems. After a brief introduction to the camera calibration process and in particular the Zhang's method, we give a description of the different types of lens distortions and the techniques used for the distortion compensation. At the end some numerical example are shown in order to demonstrate the importance of the distortion compensation to obtain accurate measurements

Polarimetric and spectroscopic optical observations of the ultra-compact X-ray binary 4U 0614+091

Aims: We present a polarimetric and spectroscopic study of the persistent ultra compact X-ray binary 4U 0614+091 aimed at searching for the emission of a relativistic particle jet and at unveiling the orbital period of the system. Methods: We obtained r-band polarimetric observations with the Telescopio Nazionale Galileo (TNG) equipped with the PAOLO polarimeter and with the Nordic Optical Telescope (NOT) equipped with the ALFOSC instrument, covering ~ 2 hours and ~ 0.5 hours observations, respectively. We carried out low resolution spectroscopy of the system using the ESO Very Large Telescope equipped with FORS1 for ~ 1.5 hours (16 spectra covering the range 430-800 nm). Results: The polarimetric analysis performed starting from the TNG dataset revealed a polarisation degree in the r-band of 3 % +/- 1 %. From the NOT dataset, due to the lower S/N ratio, we could obtain only a 3 sigma upper limit of 3.4 %. From the joining of a spectroscopic and photometric analysis, through the study of the equivalent width variations of the CII 724 nm line and the r-band light curve, we could find a hint of a ~ 45 min periodicity. Conclusions: A polarisation degree P of ~ 3 % in the r-band is consistent with the emission of a relativistic particle jet, which is supposed to emit intrinsically linearly polarised synchrotron radiation. Since no variations of P with time have been detected, and the accretion disc of the system does not contain ionised hydrogen, scattering by free electrons in the accretion disc has been rejected. The period of ~ 45 min obtained through the analysis of the system light curve and of the equivalent width variations of the selected spectral line is probably linked to the presence of a hot spot or a superhump in the accretion disc, and lead to an orbital period > 1 hour for the binary system.Comment: 8 pages, 6 figures, 4 tables. Accepted for publication in Astronomy & Astrophysics (Section 7

Swiss clinical practice guidelines on field cancerization of the skin.

Actinic keratosis (AK) affects millions of people worldwide, and its prevalence continues to increase. AK lesions are caused by chronic ultraviolet radiation exposure, and the presence of two or more AK lesions along with photodamage should raise the consideration of a diagnosis of field cancerization. Effective treatment of individual lesions as well as field cancerization is essential for good long-term outcomes. The Swiss Registry of Actinic Keratosis Treatment (REAKT) Working Group has developed clinical practice guidelines for the treatment of field cancerization in patients who present with AK. These guidelines are intended to serve as a resource for physicians as to the most appropriate treatment and management of AK and field cancerization based on current evidence and the combined practical experience of the authors. Treatment of AK and field cancerization should be driven by consideration of relevant patient, disease, and treatment factors, and appropriate treatment decisions will differ from patient to patient. Prevention measures and screening recommendations are discussed, and special considerations related to management of immunocompromised patients are provided

Lightweight Model for Session-Based Recommender Systems with Seasonality Information in the Fashion Domain

This paper presents the solution designed by the team "Boston Team Party"for the ACM RecSys Challenge 2022. The competition was organized by Dressipi and was framed under the session-based fashion recommendations domain. Particularly, the task was to predict the purchased item at the end of each anonymous session. Our proposed two-stage solution is effective, lightweight, and scalable. First, it leverages the expertise of several strong recommendation models to produce a pool of candidate items. Then, a Gradient-Boosting Decision Tree model aggregates these candidates alongside several hand-crafted features to produce the final ranking. Our model achieved a score of 0.18800 in the public leaderboard. To aid in the reproducibility of our findings, we open-source our materials

Clostridium difficile infection in children: epidemiology and risk of recurrence in a low-prevalence country

Clostridium difficile infection (CDI) is increasingly found in children worldwide, but limited data are available from children living in southern Europe. A 6-year retrospective study was performed to investigate the epidemiology, clinical features, treatment, and risk of recurrence in Italy. Data of children with community- and hospital-acquired CDI (CA-CDI and HA-CDI, respectively) seen at seven pediatric referral centers in Italy were recorded retrospectively. Annual infection rates/10,000 hospital admissions were calculated. Logistic regression was used to investigate risk factors for recurrence. A total of 177 CDI episodes was reported in 148 children (83 males, median age 55.3 months), with a cumulative infection rate of 2.25/10,000 admissions, with no significant variability over time. The majority of children (60.8 %) had CA-CDI. Children with HA-CDI (39.2 %) had a longer duration of symptoms and hospitalization (p = 0.003) and a more common previous use of antibiotics (p = 0.0001). Metronidazole was used in 70.7 % of cases (87/123) and vancomycin in 29.3 % (36/123), with similar success rates. Recurrence occurred in 16 children (10.8 %), and 3 (2 %) of them presented a further treatment failure. The use of metronidazole was associated with a 5-fold increase in the risk of recurrence [odds ratio (OR) 5.18, 95 % confidence interval (CI) 1.1-23.8, p = 0.03]. Short bowel syndrome was the only underlying condition associated with treatment failure (OR 5.29, 95 % CI 1.17-23.8, p = 0.03). The incidence of pediatric CDI in Italy is low and substantially stable. In this setting, there is a limited risk of recurrence, which mainly concerns children treated with oral metronidazole and those with short bowel syndrome

Habitats Directive in northern Italy: a series of proposals for habitat definition improvement

Habitats Directive (92/43/EEC) is the cornerstone of nature conservation in Europe and is at the core of the EU Biodiversity Strategy for 2030. There is room, however, for its improvement, at least for northern Italy, where ambiguities in the definition of habitat types of Annex I of the Habitats Directive are not novel and interpretation difficulties have been highlighted. Sharpening the characterization of habitat types represents an opportunity for lowering classification uncertainties and improving conservation success. With the aim to refine the definitions of habitat types and associated typical species of the Habitats Directive, a group of vegetation scientists of the Italian Society of Vegetation Science based in northern Italy made the exercise of finding viable proposals for those habitat types having a problematic interpretation in the Alpine biogeographical region of Italy. Such proposals arise from group discussions among scientists, and professionals, thus offering a shared view. We prepared 9 habitat proposals important for this geographic area. They include new habitat types at the European level, new subtypes within pre-existing habitat types, including some adjustments of the recently proposed subtypes with respect to northern Italy, and recognition of priority criteria for a pre-existing habitat type. With a vision of tailored conservation, our proposals represent a starting point in view of a future update of Annex I. Furthermore, the list of typical species could be useful for preparing expert systems for automatic classification. Irrespective of legally binding solutions in place, we caution these proposals represent relevant baseline conservation indications that local and regional administrations of the Alpine Arch should consider