4,924 research outputs found

    Using fine-scale field data modelling for planning the management of invasions of Oenothera stucchii in coastal dune systems

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    Invasive alien species risk assessment and adaptive management are often hindered by a lack of information for most species. This work aims at predicting the probability of successful establishment and invasion of Oenothera stucchii Soldano, a neophyte invasive species belonging to the sect. Oenothera subsect. Oenothera, in xerophilous grasslands of grey dunes. Based on fine-scale field data, we modelled O. stucchii presence/absence and abundance as a function of environmental factors, human disturbance, and attributes of the recipient community through a zero-inflated Poisson model. The invasion success of O. stucchii depended on a combination of factors which differed when considering either the patterns of occurrence (species presence/absence) or those of species abundance. While human-driven disturbance strongly influenced the probability of presence/absence of O. stucchii, patterns of abundance were mostly driven by a combination of environmental and biotic features. Attributes of the recipient community remarkably influenced both O. stucchii presence and abundance. Based on fine-scale field data, we determined the mechanisms which drive the spatial patterns of presence and abundance of O. stucchii in xerophilous grasslands and provided quantitative thresholds to identify the most susceptible areas of grey dune habitats prone to invasion, which combine human disturbance (distance from the nearest beach access), attributes of the resident community (resident vegetation cover and structure), and environmental disturbance (foredune ridge height). These results provide useful insights to be used to plan cost-effective measures to prevent O. stucchii establishment and spread in sandy coastal systems. Our model may also be applied to closely related congener species included in the subsect. Oenothera, sharing similar biological and ecological traits

    Media use during adolescence: the recommendations of the Italian Pediatric Society.

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    BACKGROUND: The use of media device, such as smartphone and tablet, is currently increasing, especially among the youngest. Adolescents spend more and more time with their smartphones consulting social media, mainly Facebook, Instagram and Twitter because. Adolescents often feel the necessity to use a media device as a means to construct a social identity and express themselves. For some children, smartphone ownership starts even sooner as young as 7 yrs, according to internet safety experts. MATERIAL AND METHODS: We analyzed the evidence on media use and its consequences in adolescence. RESULTS: In literature, smartphones and tablets use may negatively influences the psychophysical development of the adolescent, such as learning, sleep and sigh. Moreover, obesity, distraction, addiction, cyberbullism and Hikikomori phenomena are described in adolescents who use media device too frequently. The Italian Pediatric Society provide action-oriented recommendations for families and clinicians to avoid negative outcomes. CONCLUSIONS: Both parents and clinicians should be aware of the widespread phenomenon of media device use among adolescents and try to avoid psychophysical consequences on the youngest

    E-Defense 2015 ten-story building: beam–column joint assessment according to different code-based design

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    Recent devastating earthquakes worldwide pointed out the importance of seismic detailing and their influence on the observed damage and subsequent repairability of reinforced concrete buildings. Several studies and post-earthquake observations remarked the role of beam–column joints (BCJs) on the global building response and the effectiveness of transverse reinforcement in increasing the joint shear strength and the ultimate deformation. Although number of experimental and theoretical studies focused on the seismic response of BCJs, their mechanical behaviour is still a discussed topic. This resulted in number of design approaches available in worldwide code or standards that lead to different quantity of joint stirrups. This study focuses on the response of BCJs of a 10-story prototype building designed according to Japanese standards and tested in 2015 on the E-Defense shaking table. First the damage assessment at global (building) and local (joint) level is performed at increasing intensities and considering the building in the base slip and base fixed configurations. A refined numerical model is then developed and validated against global and local experimental results. Then, the joint stirrups are re-designed according to different international standards (ACI, EC8, NZS) and different numerical models are developed. The numerical results are then compared in terms of interstorey drift demand and joint shear strain. Finally, a comparison in terms of expected damage varying the design approach of joint stirrups is proposed

    Ambulatory surgery for perianal Crohn’s disease. Study of feasibility

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    Background. One-third of Crohn’s disease (CD) patients present perianal fistula. The gold standard in the diagnosis and treatment of symptomatic perianal disease (PAD) in CD is the exploration of the anal canal and distal rectum under anesthesia (EUA). This procedure is mainly conducted as a day case surgery. Unfortunately, it is not always possible to proceed within the ideal timing and any delay may well represent a relevant clinical issue. The aim of this study was to evaluate the feasibility of outpatient treatment of symptomatic perianal fistulas in CD patients. Methods. All CD patients under regular follow-up at our inflammatory bowel disease referral center, presenting with symptomatic perianal fistulas, were offered surgical consultation. The data of patients were prospectively collected for three years (February 2014 to February 2017) for the purpose of the study. All clinical information, including previous EUA and/or records from MRI and endoscopic ultrasound, was included. Outpatient anal canal and distal rectum exploration and treatment (OE) were undertaken during the specialist surgical consultation. Fistulas were classified according to Parks’s classification; the type of outpatient treatment and compliance of patients were recorded. Pain was assessed by VAS at the time of the procedure and during the first control. Patients were followed up in the surgical clinic in relation to the study. Results. Ninety-two CD patients with symptomatic perianal fistulas had surgical consultation during the study period. OE was offered to all but 18 patients who fulfilled the exclusion criteria or had an extremely severe disease; six patients refused the OE (8.11%). Of the 68 patients undergoing OE, eleven (16.18%) had previous surgery for perianal disease. The OE was accomplished in sixty-one patients (89.71%), while in 7 patients, it was abandoned for scarce compliance. Nine patients (14.75%) underwent drainage of perianal abscess; in 3 of them, it was possible to probe the fistula tract, find the internal orifice, and pass a loose seton. Overall, setonage was performed in 50 patients (81.97%). Rectovaginal setons were placed in 3 patients and more than one seton (up to 3) in 6 cases. Fistulotomy was performed in 4 simple subcutaneous fistulous tracts. Concordance with the preoperative findings was found in 54 out of 61 patients. EUA was scheduled at the time of OE for the 7 patients who did not complete the procedure. All sixty-one patients who had the OE were followed up for a minimum of 12 months. Conclusions. This preliminary study indicates that OE in CD patients with symptomatic perianal fistulas is safe and feasible in a high-volume referral center. It might provide several benefits, including patients’ logistics, reduce or remove patients’ symptoms and discomfort, allow for a timely start of medical therapy, and avoid further complications

    Bone damage induced by different cutting instruments: an in vitro study

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    The aim of this study was to compare the peripheral bone damage induced by different cutting systems. Four devices were tested: Er:YAG laser (2.94 mm), Piezosurgery, high-speed drill and low-speed drill. Forty-five bone sections, divided into 9 groups according to different parameters, were taken from pig mandibles within 1 h post mortem. Specimens were fixed in 10% buffered formalin, decalcified and cut in thin sections. Four different parameters were analyzed: cut precision, depth of incision, peripheral carbonization and presence of bone fragments. For statistical analysis, the Kruskal-Wallis test was applied to assess equality of sample medians among groups. All sections obtained with the Er:YAG laser showed poor peripheral carbonization. The edges of the incisions were always well-shaped and regular, no melting was observed. Piezosurgery specimens revealed superficial incisions without thermal damage but with irregular edges. The sections obtained by traditional drilling showed poor peripheral carbonization, especially if obtained at lower speed. There was statistically significant differences (p<0.01) among the cutting systems for all analyzed parameters. Er:YAG laser, gave poor peripheral carbonization, and may be considered an effective method in oral bone biopsies and permits to obtain clear and readable tissue specimens

    Should we really STOP treating patients with IgA nephropathy with steroids?

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    IgA nephropathy (IgAN) is the most common primary glomerulonephritis all over the world. Once considered as a benign disease, today the scientific community is aware that a significant percentage of patients eventually progress to end-stage kidney disease (ESKD). The rate of progression is often very slow. Since 1980s, several therapeutic attempts have been made with steroids. Despite different molecules, doses, and lengths of treatment, the majority of uncontrolled and controlled studies found benefits in terms of proteinuria reduction and reduction of the risk of ESKD. This was obtained with reasonable safety and tolerability, especially when steroids are given at relatively low dose and for a period not exceeding 6 months. Recently, two randomized controlled trials have questioned the efficacy and safety of steroid therapy in IgAN. However, these trials have many drawbacks that are to be considered when interpreting the findings
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