Monitoring extreme meteo-marine events in the Mediterranean area using the microseism (Medicane Apollo case study)

Microseism is the continuous background seismic signal caused by the interaction between the atmosphere, the hydrosphere and the solid Earth. Several studies have dealt with the relationship between microseisms and the tropical cyclones, but none focused on the small-scale tropical cyclones that occur in the Mediterranean Sea, called Medicanes. In this work, we analysed the Medicane Apollo which impacted the eastern part of Sicily during the period 25 October–5 November 2021 causing heavy rainfall, strong wind gusts and violent sea waves. We investigated the microseism accompanying this extreme Mediterranean weather event, and its relationship with the sea state retrieved from hindcast maps and wave buoys. The spectral and amplitude analyses showed the space–time variation of the microseism amplitude. In addition, we tracked the position of Apollo during the time using two different methods: (i) a grid search method; (ii) an array analysis. We obtained a good match between the real position of Apollo and the location constraint by both methods. This work shows that it is possible to extract information on Medicanes from microseisms for both research and monitoring purposes.peer-reviewe

Microseism and medicane Apollo : a new approach to investigate the Mediterranean extreme weather events

Microseism is the most continuous and ubiquitous seismic signal on the Earth and is caused by the interaction between the atmosphere, the hydrosphere and the Solid Earth. In literature, there are several studies that deal with the relationship between microseism and cyclonic activity considering in particular hurricanes, tropical cyclones and typhoons. However, the relationships between microseism and the small-scale tropical cyclones that occur in the Mediterranean Sea, called Medicanes, have never been analysed. For this reason, we considered the Medicane Apollo, which developed in the Ionian Sea and impacted the eastern part of Sicily during the period 25th October to 5th November 2021 causing heavy rainfall (> 400 mm/48h), strong wind gusts (104 km/h) and violent sea waves (significant wave height > 3.5 m). Furthermore, the heavy rainfall induced by the presence of Apollo, caused damage to infrastructure and agriculture forcing the Sicilian regional government to declare a state of emergency for 32 municipalities (in the provinces of Catania, Messina, Siracusa and Ragusa) that were mostly affected by the Medicane Apollo.peer-reviewe

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

Is MRI imaging in pediatric age totally safe? A critical reprisal

Current radiological literature is strongly focussed on radiation imaging risks. Indeed, given there is a small but actual augment in cancer risk from exposure to ionizing radiation in children, it is important to understand what the risk of alternative techniques could be. We retrospectively review literature data concerning possible MR imaging risks, focussing on the biological effects of MR, sedation and gadolinium compound risks when dealing with infant patients. The main concerns can be summarized in: (1) Biological effects of non-ionizing electromagnetic fields (EMF) employed—whose mechanisms of interaction with human tissues are polarization, induced current, and thermal heating, respectively. (2) Risks associated with noises produced during MRI examinations. (3) Hazards from ferromagnetic external and/or implanted devices—whose risk of being unintentionally brought inside MR room is higher in children than in adults. (4) Risks associated with sedation or general anaesthesia, essential problem in performing MR in very young patients, due to the exam long-lasting. (5) Risks related to gadolinium-based contrast agents, especially considering the newly reported brain deposition

Independent Component Analysis of EEG-fMRI data for studying epilepsy and epileptic seizures

Here we present a method for classifying fMRI independent components (ICs) by using an optimized algorithm for the individuation of noisy signals from sources of interest. The method was applied to estimate brain activations from combined EEG-fMRI data for the exploration of epilepsy. Spatial ICA was performed using the above-mentioned optimized algorithm and other three popular algorithms. ICs were sorted considering the value: of the coefficients of determination R2, obtained from the multiple regression analysis with morphometric maps of cerebral matter; of the kurtosis, which features the signal energy. The validation of the method was performed comparing the brain activations obtained with those resulted using the General Linear Model (GLM). The ICA-derived activations in different datasets comprised subareas of the GLM-revealed activations, even if the volume and the shape of activated areas do not correspond exactly. The method proposed also detects additional negative regions implicated in a default mode of brain activity, and not clearly identified by GLM. Compared with a traditional GLM approach, the ICA one provides a flexible way to analyze fMRI data that reduces the assumptions placed upon the hemodynamic response of the brain and the temporal constrains

Subcutaneous octreotide versus oral loperamide in the treatment of diarrhea following chemotherapy

Forty patients with chemotherapy-related diarrhea were randomized to receive (i) octreotide 0.5 mg three times per day s.c. or (ii) loperamide 4 mg three times per day p.o. until complete remission of diarrhea was achieved. In the octreotide group 80% of patients showed complete resolution of loose bowel movements within 4 days of therapy, while in the loperamide group this goal was obtained in only 30% of cases (p < 0.001). If after 4 days no benefit was seen, patients were considered to have failed antidiarrheal therapy. Failure was recorded in only one case (5%) treated with s.c. octreotide and in five patients (25%) who received loperamide. The mean duration of antidiarrheal therapy necessary to achieve remission was 3.4 days in the octreotide group and 6.1 days in the lorepamide group (p < 0.001). Treatment with octreotide was very well tolerated with mild abdominal pain in 15% of cases and pain in the injection site in 15% of patients. Subcutaneous octreotide is highly effective in the management of chemotherapy-related diarrhea in cancer patients

Piezoresistive flexible composite for robotic tactile applications

We present a robust and flexible tactile sensor based on piezoresistive sensing material, constituted by a polymeric composite with nanostructured spiky particles as filler. The composite is able to exploit tunneling conduction mechanism when subjected to a compressive load. We have here integrated this quantum tunneling composite (QTC) with an ad-hoc electronic read-out circuit. In addition a software interface can monitor and visualize the applied mechanical pressure, thus leading to a complete tactile sensor device. Concerning the sensing material, the piezoresistive composite shows an enhanced tunneling conduction due to the presence of nickel particles with nanostructured sharp tips embedded in a silicone matrix. We registered an increase up to nine orders of magnitude of the composite electrical conduction in response to a mechanical strain. The sensor consisted in a continuous layer of functional composite sandwiched between a matrix of patterned top and bottom electrodes. The planar sensor can thus be modeled as a two-dimensional array of resistors whose value decreases by increasing the applied pressure. We also designed an ad-hoc electronic read-out circuit, able to read and process the resistance variations of the sensor upon a compressive load, thus providing not only the pressure intensity but also the pressure distribution data. A software interface was able to achieve the real-time tridimensional response and lead to the visualization of the compressed regions on the sensor. The present device is an efficient and low-cost prototype of tactile sensing skin, thus readily enabling its use for human robotic applications